Active NPI
Center for Orthotic & Prosthetic Excellence, LLC
- Prosthetic/Orthotic Supplier
- Highland, IN
National Provider Identifier
1275847246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CENTER FOR ORTHOTIC & PROSTHETIC EXCELLENCE, LLC
- Practice address
- 2213 Main St Unit 1C-102
Highland, IN 46322-3514 - Phone
- (219) 365-0248
- Fax
- (219) 365-0072
- NPI assigned
- Aug 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amit Bhanti, CPO
- Title
- Ceo
- Phone
- (309) 676-2276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | IN | Primary |
Addresses
Primary practice location
2213 Main St Unit 1C-102
Highland, IN 46322-3514
Mailing address
741 W Main St
Peoria, IL 61606-1953
Phone (309) 676-2276
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072560 | IN | DME Supplier - Orthotic Personnel | 4981801370 | Practice locations: Highland, IN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Prosthetic/Orthotic Supplier
- Saint John, IN
- NPI 1346424728
4981801370
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Center for Orthotic & Prosthetic Ex | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Center for Orthotic Prosthetic Excellence LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Saint John, IN
- NPI 1346424728
-
- Prosthetic/Orthotic Supplier
- Valparaiso, IN
- NPI 1427879428
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1275847246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 W MAIN ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061953",
"telephone_number": "309-676-2276",
"fax_number": "309-285-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 MAIN ST UNIT 1C-102",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463223514",
"telephone_number": "219-365-0248",
"fax_number": "219-365-0072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ORTHOTIC & PROSTHETIC EXCELLENCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-02",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "BHANTI",
"authorized_official_first_name": "AMIT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "309-676-2276",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.