Individual provider Active NPI

Neal M Lofchy, M.D.

  • Otolaryngology Physician
  • Downers Grove, IL
National Provider Identifier
1609876028
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036087685 Issued in IL
Practice address
3800 Highland Ave Ste 105
Downers Grove, IL 60515-1558
Phone
(630) 701-3840
Fax
(630) 574-8225
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036087685 IL Primary

Addresses

Primary practice location

3800 Highland Ave Ste 105
Downers Grove, IL 60515-1558

Mailing address

3800 Highland Ave Ste 105
Downers Grove, IL 60515-1558
Phone (630) 701-3840

Other identifiers 1

IdentifierTypeStateIssuer
036087685MedicaidIL

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
I20040713000820 IL Practitioner - Otolaryngology 8921086554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Head and Neck Associates SCGroup PAC ID 6103842950, 6 clinicians

Practice addresses (Care Compare)

3800 Highland Ave
Suite 105
Downers Grove, IL 60515-1558
Phone (630) 701-3840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036087685ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Head and Neck Associates, SC Otolaryngology CurrentSince Sep 1, 2005 Accepting new patients
William Panje MD SC Past Accepting new patients

Locations

1725 W Harrison St
Ste 340
Chicago, IL 60612
Phone (312) 563-9805

3000 N Halsted St
Ste 721
Chicago, IL 60657
Phone (312) 664-6715

3800 Highland Ave
Ste 105
Downers Grove, IL 60515
Phone (630) 574-8222

120 Oakbrook Ctr
Ste 508
Oak Brook, IL 60523
Phone (630) 574-8222

6703 159th St
Ste 100
Tinley Park, IL 60477
Phone (708) 444-1530

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1609876028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE STE 105",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151558",
            "telephone_number": "630-701-3840",
            "fax_number": "630-574-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE STE 105",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151558",
            "telephone_number": "630-701-3840",
            "fax_number": "630-574-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFCHY",
        "first_name": "NEAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036087685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.