Active NPI
Timothy T Lantvit, DPM
- Podiatrist
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016004656
- Practice address
- 40 Skokie Blvd Ste 520
Northbrook, IL 60062-1601 - Phone
- (847) 504-5000
- Fax
- (847) 504-5015
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000775 | IN | |
| Podiatrist | 213E00000X | 016004656 | IL | Primary |
Addresses
Primary practice location
40 Skokie Blvd Ste 520
Northbrook, IL 60062-1601
Mailing address
PO Box 917
Northbrook, IL 60065-0917
Phone (847) 504-5000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0732240001 | Other | DMERC # WITH PPG | |
| 200136470A | Medicaid | IN | |
| P01770673 | Other | IA | RAILROAD MEDICARE |
| 1720134422 | Medicaid | IA | |
| 016004656 | Medicaid | IL | |
| 480017047 | Other | IL | RAILRAOD MEDICARE |
| 0002219563 | Other | IL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Brookview Dr
Farmer City, IL 61842-9702
Phone (309) 928-2118
62 63Rd St
Willowbrook, IL 60527-2982
Phone (630) 887-9221
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 87.6
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2345 |
| Removal or shaving of skin growth | 936 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004656 | IL | MD | Podiatrist |
| 07000775 | IN | MD | Podiatrist |
| 00559 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Podiatry Group, LTD | Podiatrist | Current | Accepting new patients |
| Willowbrook Podiatry Inc | Podiatrist | Current | Accepting new patients |
| Premiere Anesthesia Group LLC | Past | Accepting new patients | |
| Preferred Podiatry Group PC | Podiatrist | Past | Accepting new patients |
Locations
7025 Beracasa Way
Ste 102G
Boca Raton, FL 33433
Phone (773) 321-2681
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
2195 Foxglove Dr
Northbrook, IL 60062
Phone (847) 480-7110
105 E 23rd St
Sterling, IL 61081
Phone (815) 381-4264
62 63rd St
Willowbrook, IL 60527
Phone (630) 887-9221
Organizations & group practices 4
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.
-
- Podiatrist
- Skokie, IL
- NPI 1760585814
-
- Podiatrist
- Willow Brook, IL
- NPI 1932167228
-
- Podiatrist
- Chicago, IL
- NPI 1134576143
-
- Certified Registered Nurse Anesthetist
- Park Ridge, IL
- NPI 1720467392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1720134422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600650917",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SKOKIE BLVD STE 520",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621601",
"telephone_number": "847-504-5000",
"fax_number": "847-504-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTVIT",
"first_name": "TIMOTHY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000775",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC # WITH PPG",
"identifier": "0732240001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200136470A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01770673",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720134422",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004656",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "480017047",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0002219563",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.