Individual provider Active NPI

Rimvydas Statkus, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
National Provider Identifier
1538510656
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005837 Issued in IL
Practice address
750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone
(847) 639-5800
Fax
(815) 526-3467
NPI assigned
Jun 29, 2016
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
Foot & Ankle Surgery Podiatrist 213ES0103X 016005837 IL Primary

Addresses

Primary practice location

750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621

Mailing address

750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621
Phone (847) 639-5800

Other practice location 1

165 N. Lakewood
Ste A
Lake in the Hills, IL 60156-6015
Phone (847) 639-5800

Other practice location 2

1760 W Algonquin Rd
Hoffman Estates, IL 60192-1573
Phone (847) 639-5800

Other practice location 3

1288 S US Highway 12
Fox Lake, IL 60020-1950
Phone (847) 639-5800

Other practice location 4

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rstatkus237367@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719000604 IL Practitioner - Podiatry 5698069284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Illinois Foot and Ankle Specialists, LTDGroup PAC ID 1355566183, 18 clinicians

Practice addresses (Care Compare)

113 W Main St
Cary, IL 60013-2718
Phone (847) 639-5800

1288 S US Hwy 12
Fox Lake, IL 60020-1950
Phone (847) 639-5800

750 E Terra Cotta Ave
Crystal Lake, IL 60014-3621
Phone (847) 639-5800

Hospital & facility affiliations

  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue649
Removal of skin lesions1-10
Removal of nail tissue429
Removal or shaving of skin growth266
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 31, 2019 Accepting new patients
Northern Illinois Foot & Ankle Specialists, LTD Foot & Ankle Surgery CurrentSince Jul 31, 2019 Accepting new patients
Northern Illinois Foot & Ankle Specialists Foot & Ankle Surgery Past Accepting new patients

Locations

113 W Main St
Cary, IL 60013
Phone (708) 639-5800

750 E Terra Cotta Ave
Ste C
Crystal Lake, IL 60014
Phone (815) 455-0800

750 E Terra Cotta Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-1800

1288 S US Highway 12
Fox Lake, IL 60020

1760 W Algonquin Rd
Hoffman Estates, IL 60192
Phone (847) 991-3111

165 N Lakewood Rd
Ste A
Lake in the Hills, IL 60156
Phone (846) 639-5800

Interoperability endpoints

  • Direct secure messaging: rstatkus237367@direct.myadvocateaurora.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1538510656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "847-639-5800",
            "fax_number": "815-526-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "847-639-5800",
            "fax_number": "815-526-3467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 N. Lakewood",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Lake in the Hills",
            "state": "IL",
            "postal_code": "601566015",
            "country_code": "US",
            "telephone_number": "847-639-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 W Algonquin Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601921573",
            "country_code": "US",
            "telephone_number": "847-639-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1288 S US Highway 12",
            "address_purpose": "LOCATION",
            "city": "Fox Lake",
            "state": "IL",
            "postal_code": "600201950",
            "country_code": "US",
            "telephone_number": "847-639-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "IL",
            "postal_code": "600132718",
            "country_code": "US",
            "telephone_number": "847-639-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATKUS",
        "first_name": "RIMVYDAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstatkus237367@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "750 E Terra Cotta Ave Ste C",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600143621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "750 E Terra Cotta Ave Ste C",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600143621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.