Individual provider Active NPI

Thomas A. Lutz, MD

  • Phlebology Physician
  • Lake Zurich, IL
National Provider Identifier
1174623664
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
036112147 Issued in IL
Practice address
795 Ela Rd Ste 115
Lake Zurich, IL 60047-6307
Phone
(847) 550-4984
Fax
(847) 847-7289
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036112147 IL
Phlebology Physician 202K00000X 036112147 IL Primary

Addresses

Primary practice location

795 Ela Rd Ste 115
Lake Zurich, IL 60047-6307

Mailing address

795 Ela Rd Ste 115
Lake Zurich, IL 60047-6307
Phone (847) 550-4984

Other practice location 1

1670 Capital St Ste 500
Elgin, IL 60124-8079
Phone (847) 468-9900

Other identifiers 1

IdentifierTypeStateIssuer
P00480520OtherILMEDICARE RAILROAD PTAN

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
I20080523000490 IL Practitioner - Internal Medicine 7012966104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Vein Specialists-Elgin SCGroup PAC ID 8729262662, 2 clinicians

Practice addresses (Care Compare)

795 Ela Rd
Suite 115
Lake Zurich, IL 60047-6307
Phone (847) 550-4984

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Clinics of Chicago LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.lutz.1@13047.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13047/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1174623664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 ELA RD STE 115",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476307",
            "telephone_number": "847-550-4984",
            "fax_number": "847-847-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 ELA RD STE 115",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476307",
            "telephone_number": "847-550-4984",
            "fax_number": "847-847-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1670 Capital St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601248079",
            "country_code": "US",
            "telephone_number": "847-468-9900",
            "fax_number": "847-468-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036112147",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036112147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00480520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

Verify at the official NPI Registry.