Active NPI
Daniel Louis Luetkehans, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004128
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60001618 | Other | IL | BC/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
Enrollment records 1
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
Practice addresses (Care Compare)
3825 Highland Ave
Suite 301
Downers Grove, IL 60515-1562
Phone (630) 434-0098
Hospital & facility affiliations
- Advocate Good Samaritan Hospital
- Northwestern Medicine Central Dupage Hospital
- Advocate Lutheran General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 608 |
| Removal of nail tissue | 50 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000739A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Foot and Ankle Specialists PC | Foot & Ankle Surgery | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Downers Grove, IL
- NPI 1154522787
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.