Individual provider Active NPI

Maria Lentzou, M.D.

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1124071139
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036100946 Issued in IL
Practice address
12050 S Harlem Ave Ste a
Palos Heights, IL 60463-2803
Phone
(708) 671-1500
Fax
(708) 671-1535
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036100946 IL Primary

Addresses

Primary practice location

12050 S Harlem Ave Ste a
Palos Heights, IL 60463-2803

Mailing address

12050 S Harlem Avenue, Unit a
Palos Heights, IL 60463-1141
Phone (708) 671-1500

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
I20050225000621 IL Practitioner - Internal Medicine 7810940251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maria Lentzou MD SCGroup PAC ID 1658324090, 8 clinicians

Practice addresses (Care Compare)

12050 S Harlem Ave Unit a
Palos Heights, IL 60463-1141
Phone (708) 671-1500

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Palos Community Hospital Home Health Care Home health agency, Lemont, IL, CCN 147470
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036100946ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Lentzou MD SC Internal Medicine CurrentSince Feb 22, 2005 Accepting new patients

Locations

9401 S Pulaski Rd
Ste 101
Evergreen Pk, IL 60805
Phone (708) 422-3737

14400 John Humphrey Dr
Ste 1E
Orland Park, IL 60462
Phone (708) 671-1500

16535 106th Ct
Ste A3
Orland Park, IL 60467
Phone (708) 671-1500

12050 S Harlem Ave
Ste A
Palos Heights, IL 60463
Phone (708) 671-1500

Interoperability endpoints

  • Direct secure messaging: maria.lentzou@mlmd.eclinicaldirectplus.com
  • Direct secure messaging: mlentzou283940@direct.myadvocateaurora.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1124071139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 S HARLEM AVENUE, UNIT A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631141",
            "telephone_number": "708-671-1500",
            "fax_number": "708-671-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 S HARLEM AVE STE A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632803",
            "telephone_number": "708-671-1500",
            "fax_number": "708-671-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZOU",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036100946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.