Individual provider Active NPI

Daniel Louis Luetkehans, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Downers Grove, IL
National Provider Identifier
1659370062
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016004128 Issued in IL
Practice address
3825 Highland Ave
Suite 301, Tower 2
Downers Grove, IL 60515-1552
Phone
(630) 434-0098
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016004128 IL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000739A IN

Addresses

Primary practice location

3825 Highland Ave
Suite 301, Tower 2
Downers Grove, IL 60515-1552

Mailing address

1510 Cadet CT
Wheaton, IL 60189-7380
Phone (630) 221-0718

Other identifiers 1

IdentifierTypeStateIssuer
60001618OtherILBC/BS

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
I20090226000055 IL Practitioner - Podiatry 4284655762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Foot and Ankle Specialists PCGroup PAC ID 0547326605, 2 clinicians

Practice addresses (Care Compare)

3825 Highland Ave
Suite 301
Downers Grove, IL 60515-1562
Phone (630) 434-0098

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue608
Removal of nail tissue50
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000739AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Foot and Ankle Specialists PC Foot & Ankle Surgery CurrentSince Aug 3, 1988 Accepting new patients

Locations

3825 Highland Ave
Ste 3061
Downers Grove, IL 60515
Phone (630) 434-0098

3825 Highland Ave
Ste 301
Downers Grove, IL 60515
Phone (630) 434-0098

3825 Highland Ave
Ste 301
Downers Grove, IL 60515
Phone (630) 434-0098

3825 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-7800

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1659370062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 CADET CT",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897380",
            "telephone_number": "630-221-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "SUITE 301, TOWER 2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-434-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETKEHANS",
        "first_name": "DANIEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016004128",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000739A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "60001618",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.