NPIMap

Organization Active NPI

Parkview Orthopaedic Group S C

  • Specialist
  • Palos Heights, IL
National Provider Identifier
1154350353
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
42000080 Issued in IL
Legal business name
PARKVIEW ORTHOPAEDIC GROUP S C
Practice address
7600 W College Dr
Palos Heights, IL 60463-1001
Phone
(708) 361-0600
Fax
(708) 923-2529
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mrs. Maria Flamburis
Title
Revenue Cycle Manager
Phone
(708) 923-2572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 42000080 IL Primary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0004X 036095475 IL

Addresses

Primary practice location

7600 W College Dr
Palos Heights, IL 60463-1001

Mailing address

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0600

Other identifiers 1

IdentifierTypeStateIssuer
605460OtherILPROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040416000361 IL Part B Supplier - Clinic/Group Practice 9335134691 Receives reassigned benefits from 56 practitioners
3 other NPIs on this enrollment
Practice locations: Palos Heights, IL; Orland Park, IL; Oak Lawn, IL; New Lenox, IL; Mokena, IL; Joliet, IL
O20100930070188 IL DME Supplier - Physician - PodiatryDME Supplier - Physician - Orthopedic/Orthopedic Surgery 9335134691 Practice locations: Palos Heights, IL
O20181024002804 IN Part B Supplier - Clinic/Group Practice 9335134691 Receives reassigned benefits from 13 practitioners
Practice locations: Munster, IN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1300 Copperfield Ave
Ste 4040
Joliet, IL 60432
Phone (815) 727-3030

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1154350353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-0600",
            "fax_number": "708-923-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-0600",
            "fax_number": "708-923-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW ORTHOPAEDIC GROUP S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "FLAMBURIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "708-923-2572",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "42000080",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "IL",
            "license": "036095475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "605460",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.