Individual provider Active NPI

Neal J Labana, MD

  • Orthopaedic Surgery Physician
  • Flossmoor, IL
National Provider Identifier
1487655130
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036095205 Issued in IL
Practice address
19801 Governors Hwy
Suite 160
Flossmoor, IL 60422-1029
Phone
(708) 957-0505
Fax
(708) 957-0506
NPI assigned
Aug 3, 2005
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036095205 IL Primary

Addresses

Primary practice location

19801 Governors Hwy
Suite 160
Flossmoor, IL 60422-1029

Mailing address

19801 Governors Hwy
Suite 160
Flossmoor, IL 60422
Phone (708) 957-0505

Other identifiers 2

IdentifierTypeStateIssuer
200328110MedicaidIN
036095205MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nlabana283984@direct.myadvocateaurora.org

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
I20050317000338 IL Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2466420872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Washington College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Hand Center SCGroup PAC ID 4284764440, 6 clinicians

Practice addresses (Care Compare)

19801 Governors Hwy
Suite 160
Flossmoor, IL 60422-4363
Phone (708) 957-0505

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Bone & Joint Institute, S.C. Orthopaedic Surgery PastSince Jul 1, 2002 Accepting new patients
Southland Bone & Joint Institute, PSC Orthopaedic Surgery Past Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nlabana283984@direct.myadvocateaurora.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1487655130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY",
            "address_2": "SUITE 160",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "60422",
            "telephone_number": "708-957-0505",
            "fax_number": "708-957-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY",
            "address_2": "SUITE 160",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221029",
            "telephone_number": "708-957-0505",
            "fax_number": "708-957-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABANA",
        "first_name": "NEAL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036095205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200328110",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095205",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlabana283984@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "19801 Governors Hwy",
            "address_2": "Suite 160",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604221029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.