Organization Active NPI

Heart Rhythm Management of Lake County

  • Cardiovascular Disease Physician
  • Libertyville, IL
National Provider Identifier
1679880389
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036108463 Issued in IL
Legal business name
HEART RHYTHM MANAGEMENT OF LAKE COUNTY
Practice address
114 W Rockland Rd
Suite 202
Libertyville, IL 60048-2700
Phone
(847) 816-0600
Fax
(847) 430-4680
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Ray W. Helms, M.D.NPI 1316086879
Title
Owner/Physician
Phone
(312) 961-2234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 036108463 IL Primary

Addresses

Primary practice location

114 W Rockland Rd
Suite 202
Libertyville, IL 60048-2700

Mailing address

PO Box 999
# 101
Libertyville, IL 60048-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110115000022 IL Part B Supplier - Clinic/Group Practice 1355530700 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL; Vernon Hills, IL

National Provider Directory

National Provider Directory

Locations

114 W Rockland Rd
Ste 202
Libertyville, IL 60048
Phone (224) 424-0168

6 E Phillip Rd
Ste 1109
Vernon Hills, IL 60061
Phone (847) 362-5344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1679880389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "address_2": "# 101",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600480999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W ROCKLAND RD",
            "address_2": "SUITE 202",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482700",
            "telephone_number": "847-816-0600",
            "fax_number": "847-430-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART RHYTHM MANAGEMENT OF LAKE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "312-961-2234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036108463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.