Individual provider Active NPI

Vasilios Litsas, DPM

  • Foot & Ankle Surgery Podiatrist
  • La Grange, IL
National Provider Identifier
1114958543
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005036 Issued in IL
Practice address
4705 Willow Springs Rd
S.E. Suite
La Grange, IL 60525-6145
Phone
(708) 588-0250
Fax
(708) 588-0256
NPI assigned
Jul 5, 2006
Last updated
Jul 31, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005036 IL Primary

Addresses

Primary practice location

4705 Willow Springs Rd
S.E. Suite
La Grange, IL 60525-6145

Mailing address

4705 Willow Springs Rd
S.E. Suite
La Grange, IL 60525-6145
Phone (708) 588-0250

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000202 IL Practitioner - Podiatry 3870644644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4705 Willow Springs Rd
La Grange, IL 60525-6145
Phone (708) 588-0250

Merit-based Incentive Payment System (MIPS)

Final score
57.5 of 100Reported as individual
Quality
15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005036ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Litsas Center for Advanced Foot Care Inc Foot & Ankle Surgery CurrentSince Jun 1, 2009 Accepting new patients

Locations

4705 Willow Springs Rd
La Grange, IL 60525
Phone (708) 588-0250

4705 Willow Springs Rd
Ste 108
La Grange, IL 60525

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1114958543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 WILLOW SPRINGS RD",
            "address_2": "S.E. SUITE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256145",
            "telephone_number": "708-588-0250",
            "fax_number": "708-588-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 WILLOW SPRINGS RD",
            "address_2": "S.E. SUITE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256145",
            "telephone_number": "708-588-0250",
            "fax_number": "708-588-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITSAS",
        "first_name": "VASILIOS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.