Individual provider Active NPI

Lloyd M Flatt, M.D.

  • Internal Medicine Physician
  • Marseilles, IL
National Provider Identifier
1295713766
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036089865 Issued in IL
Practice address
580 Sycamore St
Marseilles, IL 61341-1366
Phone
(815) 795-2122
Fax
(815) 795-3507
NPI assigned
Jan 5, 2006
Last updated
May 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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 036089865 IL Primary

Addresses

Primary practice location

580 Sycamore St
Marseilles, IL 61341-1366

Mailing address

25259 S Reed St
Channahon, IL 60410-6003
Phone (815) 941-9124

Other identifiers 2

IdentifierTypeStateIssuer
036089865-3MedicaidIL
036089865-2MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036089865ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients

Locations

27240 W Saxony Dr
Ste 201
Channahon, IL 60410
Phone (815) 467-1518

150 W High St
Morris, IL 60450
Phone (815) 942-2129

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1295713766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25259 S REED ST",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604106003",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 SYCAMORE ST",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613411366",
            "telephone_number": "815-795-2122",
            "fax_number": "815-795-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATT",
        "first_name": "LLOYD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089865-3",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089865-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marseilles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.