Individual provider Active NPI

Emily Velotta, MD

  • Ophthalmology Physician
  • Mundelein, IL
National Provider Identifier
1063672723
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036127254 Issued in IL
Practice address
333 E Il Route 83
Suite 106
Mundelein, IL 60060-4214
Phone
(847) 556-5300
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 51968-20 WI
Ophthalmology Physician 207W00000X 125.047542 IL
Ophthalmology Physician 207W00000X 036127254 IL Primary

Addresses

Primary practice location

333 E Il Route 83
Suite 106
Mundelein, IL 60060-4214

Mailing address

333 E Il Route 83 Ste 106
Mundelein, IL 60060-4278
Phone (847) 566-5300

Other practice location 1

0S036 Church St Ste 200
Winfield, IL 60190-1203
Phone (331) 732-4370

Other identifiers 1

IdentifierTypeStateIssuer
35372400MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address evelotta237563@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000558 IL Practitioner - Ophthalmology 4486720216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

0 S036 Church St
Winfield, IL 60190-1203

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414

235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.047542ILMDOphthalmology Physician
51968-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2024 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Eye Centers of Racine and Kenosha LTD Ophthalmology PastSince Dec 14, 2025 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Interoperability endpoints

  • Direct secure messaging: evelotta237563@direct.myadvocateaurora.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1063672723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83 STE 106",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604278",
            "telephone_number": "847-566-5300",
            "fax_number": "847-566-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E IL ROUTE 83",
            "address_2": "SUITE 106",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604214",
            "telephone_number": "847-556-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "0S036 Church St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901203",
            "country_code": "US",
            "telephone_number": "331-732-4370",
            "fax_number": "331-732-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELOTTA",
        "first_name": "EMILY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "51968-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125.047542",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036127254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35372400",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evelotta237563@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "333 E Il Route 83",
            "address_2": "Suite 106",
            "city": "Mundelein",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600604214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "333 E Il Route 83",
            "address_2": "Suite 106",
            "city": "Mundelein",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600604214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mundelein, IL

Sources for this page

Verify at the official NPI Registry.