Individual provider Active NPI

Jeffrey Visotsky, MD

  • Orthopaedic Hand Surgery Physician
  • Morton Grove, IL
National Provider Identifier
1669428538
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
036-072381 Issued in IL
Practice address
9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2111
Phone
(847) 375-3000
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036-072381 IL
Orthopaedic Hand Surgery Physician 207XS0106X 036-072381 IL Primary

Addresses

Primary practice location

9000 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2111

Mailing address

900 Rand Rd Ste 300
Attn: Raquel Leon
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Other identifiers 1

IdentifierTypeStateIssuer
036-072381MedicaidIL

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
I20051118000682 IL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3779495890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Practice addresses (Care Compare)

1450 Busch Pkwy
Buffalo Grove, IL 60089-4541

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5099

1919 Skokie Valley Rd
Highland Park, IL 60035-2361
Phone (847) 375-3000

19552 S Harlem Ave
Frankfort, IL 60423-6733
Phone (815) 469-3453

2101 Waukegan Rd
Bannockburn, IL 60015-1836

2401 Ravine Way
Glenview, IL 60025-7645

2923 N California
Suite 100
Chicago, IL 60618-7702
Phone (773) 249-3100

2923 N California Ave
Suite 301
Chicago, IL 60618-7702
Phone (773) 327-5639

350 S Greenleaf St
Gurnee, IL 60031-5709

406 Front St
McHenry, IL 60050-5593

521 Green Bay Rd
Wilmette, IL 60091-2726
Phone (847) 996-5680

718 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 362-4483

720 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000

724 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000

9000 Waukegan Rd
Morton Grove, IL 60053-2127
Phone (847) 213-5444

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-072381ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute, LLC Orthopaedic Surgery CurrentSince Jan 1, 2007 Accepting new patients
Illinois Bone and Joint Institute LLC Orthopaedic Surgery CurrentSince Jan 1, 2007 Accepting new patients
Illinois Bone and Joint Institute Orthopaedic Surgery Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

1450 Busch Pkwy
Ste 115
Buffalo Grove, IL 60089
Phone (224) 676-7920

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

900 Rand Rd
Ste 200
Des Plaines, IL 60016
Phone (847) 324-3978

1919 Skokie Valley Rd
Highland Park, IL 60035
Phone (224) 765-5500

716 Florsheim Dr
Libertyville, IL 60048
Phone (847) 918-9077

9000 Waukegan Rd
Ste 200
Morton Grove, IL 60053

1875 W Dempster St
Ste 405
Park Ridge, IL 60068
Phone (312) 372-6644

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_IBJI
  • FHIR API: https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/

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 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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1669428538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "address_2": "ATTN: RAQUEL LEON",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "address_2": "SUITE 200",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532111",
            "telephone_number": "847-375-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISOTSKY",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-072381",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036-072381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-072381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.