Individual provider Active NPI

Robert Bandyk, DPM

  • Podiatrist
  • Lansing, IL
National Provider Identifier
1679587786
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-004010 Issued in IL
Practice address
18503 Torrence Ave
Lansing, IL 60438-2839
Phone
(708) 474-1900
Fax
(708) 474-1037
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-004010 IL Primary

Addresses

Primary practice location

18503 Torrence Ave
Lansing, IL 60438-2839

Mailing address

18503 Torrence Ave
Lansing, IL 60438-2839
Phone (708) 474-1900

Other identifiers 3

IdentifierTypeStateIssuer
480014821OtherILRR
016004010MedicaidIL
6000-1-555OtherILBC/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
I20101122001325 IL Practitioner - Podiatry 6002002649 Reassigns benefits to 1 organization
Practice locations: Lansing, IL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1 Myrtle Lane
Calhoun Nursing and Rehab Ctr
Hardin, IL 62047-1002
Phone (618) 576-2278

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4089
Removal or shaving of skin growth1307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016-004010ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jan 31, 1990 Accepting new patients
Preferred Podiatry Group PC Podiatrist Past Accepting new patients
Bandyk Podiatry Podiatrist PastSince Jan 2, 1940 Accepting new patients

Locations

1480 Reckinger Rd
Aurora, IL 60505
Phone (630) 299-7590

637 Hillsboro Ave
Edwardsville, IL 62025
Phone (618) 656-1136

900 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-6196

1 Myrtle
Hardin, IL 62047
Phone (618) 576-2278

1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401

425 Huehl Rd
#13
Northbrook, IL 60062
Phone (847) 504-5007

425 Huehl Rd
Unit 13
Northbrook, IL 60062
Phone (800) 654-3772

5801 S Cass Ave
Westmont, IL 60559
Phone (630) 217-6779

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679587786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382839",
            "telephone_number": "708-474-1900",
            "fax_number": "708-474-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382839",
            "telephone_number": "708-474-1900",
            "fax_number": "708-474-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDYK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "480014821",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "6000-1-555",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.