Individual provider Active NPI

Luis Jacinto Redondo, M.D.

  • Orthopaedic Surgery Physician
  • Orland Park, IL
National Provider Identifier
1710938873
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036-075192 Issued in IL
Practice address
10719 160TH St
Orland Park, IL 60467-5541
Phone
(708) 226-3300
Fax
(708) 226-4202
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036075192 IL
Orthopaedic Surgery Physician 207X00000X 036-075192 IL Primary

Addresses

Primary practice location

10719 160TH St
Orland Park, IL 60467-5541

Mailing address

75 Remittance Dr
Suite 6581
Chicago, IL 60675-1001
Phone (708) 226-3300

Other identifiers 2

IdentifierTypeStateIssuer
036-075192OtherILBLUE CROSS BLUE SHIELD PROVIDER NUMBER
200034655OtherILRAILROAD MEDICARE PROVIDER NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lredondo263582@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/fhir/myaurora/api/fhir/dstu2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040510000538 IL Practitioner - Orthopedic Surgery 5597668509 Reassigns benefits to 1 organization
I20140612000222 IN Practitioner - Orthopedic Surgery 5597668509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Consultants SCGroup PAC ID 8022911031, 27 clinicians

Practice addresses (Care Compare)

10719 160TH St
Orland Park, IL 60467-5541
Phone (708) 226-3300

9200 Calumet Ave
Suite 100
Munster, IN 46321-2885
Phone (219) 595-0789

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement43
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-075192ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Consultants SC Orthopaedic Surgery CurrentSince Apr 17, 1995 Accepting new patients

Locations

75 Remittance Dr
Dept 6581
Chicago, IL 60675

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

4220 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 226-3300

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

9200 Calumet Ave
Ste 100
Munster, IN 46321
Phone (219) 595-0789

Interoperability endpoints

  • Direct secure messaging: lredondo263582@direct.myadvocateaurora.org
  • Direct secure messaging: lredondo@midwestortho.exscribedirect.com

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.

Hospital & facility affiliations 8

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1710938873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR",
            "address_2": "SUITE 6581",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751001",
            "telephone_number": "708-226-3300",
            "fax_number": "708-226-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10719 160TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675541",
            "telephone_number": "708-226-3300",
            "fax_number": "708-226-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDONDO",
        "first_name": "LUIS",
        "middle_name": "JACINTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036075192",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036-075192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "036-075192",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "200034655",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lredondo263582@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10719 160th St",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604675541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/fhir/myaurora/api/fhir/dstu2/",
            "affiliation": "N",
            "address_1": "10719 160th St",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604675541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.