Individual provider Active NPI

Laxmi Deshabathini

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1710427133
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012952 Issued in IL
Practice address
1355 Remington Rd
Suite H
Schaumburg, IL 60173-4832
Phone
(630) 701-9009
Fax
(630) 701-9010
NPI assigned
Mar 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012952 IL Primary

Addresses

Primary practice location

1355 Remington Rd
Suite H
Schaumburg, IL 60173-4832

Mailing address

1355 Remington Rd
Suite H
Schaumburg, IL 60173-4832
Phone (630) 701-9009

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307001929 IL Practitioner - Nurse Practitioner 8022392299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LS Home Health Wound Care IncGroup PAC ID 9537647730, 2 clinicians

Practice addresses (Care Compare)

441 E Berteau Ave
Elmhurst, IL 60126-2401
Phone (708) 228-6282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M & M Foot and Ankle Specialists PLLC CurrentSince Sep 9, 2023 Accepting new patients
LS Home Health Wound Care Inc Family CurrentSince Oct 1, 2025 Accepting new patients
Integrity Care 2014, LLC PastSince Jul 31, 2023 Accepting new patients

Locations

2385 Bowes Rd
Ste 350
Elgin, IL 60123
Phone (630) 822-2445

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488585600000",
    "number": "1710427133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD",
            "address_2": "SUITE H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734832",
            "telephone_number": "630-701-9009",
            "fax_number": "630-701-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 REMINGTON RD",
            "address_2": "SUITE H",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734832",
            "telephone_number": "630-701-9009",
            "fax_number": "630-701-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHABATHINI",
        "first_name": "LAXMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.