Individual provider Active NPI

Luke Matthew Lotriet, D.C.

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1467481184
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38010017 Issued in IL
Practice address
15041 S Van Dyke Rd Unit 101
Plainfield, IL 60544-5810
Phone
(815) 327-3540
Fax
(815) 828-0965
NPI assigned
Jul 3, 2006
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38010017 IL Primary

Addresses

Primary practice location

15041 S Van Dyke Rd Unit 101
Plainfield, IL 60544-5810

Mailing address

15041 S Van Dyke Rd Unit 101
Plainfield, IL 60544-5810
Phone (815) 327-3540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000095 IL Practitioner - Chiropractic 5193776565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15041 S Van Dyke Rd
Suite 101
Plainfield, IL 60544-5810
Phone (815) 267-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38010017ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Wellness Group LTD Chiropractor CurrentSince Oct 1, 2014 Accepting new patients
PW Group LTD Chiropractor CurrentSince Apr 9, 2024 Accepting new patients

Locations

15041 S Van Dyke Rd
#101
Plainfield, IL 60544

15041 S Van Dyke Rd
Ste 101
Plainfield, IL 60544
Phone (815) 267-8596

15041 S Van Dyke Rd
Unit 101
Plainfield, IL 60544
Phone (309) 830-0252

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1467481184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15041 S VAN DYKE RD UNIT 101",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445810",
            "telephone_number": "815-327-3540",
            "fax_number": "815-828-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15041 S VAN DYKE RD UNIT 101",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445810",
            "telephone_number": "815-327-3540",
            "fax_number": "815-828-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTRIET",
        "first_name": "LUKE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.