Individual provider Active NPI

Frank J Lutrin, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Urbana, IL
National Provider Identifier
1770549420
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036095869 Issued in IL
Practice address
1405 W Park St
Suite 303
Urbana, IL 61801
Phone
(217) 337-2924
Fax
(217) 337-2703
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036095869 IL Primary

Addresses

Primary practice location

1405 W Park St
Suite 303
Urbana, IL 61801

Mailing address

2650 Warrenville Rd
Suite 280
Downers Grove, IL 60515
Phone (630) 324-7900

Other identifiers 4

IdentifierTypeStateIssuer
344390OtherDUPAGE GROUP
36095869MedicaidIL
202172OtherURBANA/ROCKFORD/MOLINE
526620OtherCOOK GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address flutrin41111@direct.luhs.org LOYOLA UNIVERSITY MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20050816000384 IL Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 2567492945 Reassigns benefits to 3 organizations
I20240305001806 IA Practitioner - Thoracic Surgery 2567492945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

Practice addresses (Care Compare)

10 Martin Ave
Suite 100
Naperville, IL 60540-6564
Phone (630) 416-8500

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0274

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5589

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-6477

3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-1318

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3083

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 296-5577

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Sep 1, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 15, 2024 Accepting new patients
Genesis Health System Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2024 Accepting new patients
Cardiac Surgery Associates SC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 1999 Accepting new patients
Loyola University Medical Center CurrentSince Jan 1, 2009 Accepting new patients
Loyola University Medical Center CurrentSince Jan 1, 2009 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Loyola University Physician Foundation Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1236 E Rusholme St
Ste 150
Davenport, IA 52803
Phone (563) 421-3990

3000 N Halsted St
Ste 606
Chicago, IL 60657
Phone (773) 296-3700

2650 Warrenville Rd
Ste 280
Downers Grove, IL 60515
Phone (630) 324-7920

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

420 W Butterfield Rd
Elmhurst, IL 60126
Phone (630) 832-2300

133 E Brush Hill Rd
Ste 200
Elmhurst, IL 60126

301 Madison St
Ste 280
Joliet, IL 60435
Phone (630) 324-7915

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Ste 6243
Maywood, IL 60153
Phone (708) 327-2503

2160 S 1st Ave
Bldg 108
Maywood, IL 60153
Phone (708) 216-6200

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1875 W Dempster St
Ste 410
Park Ridge, IL 60068
Phone (847) 318-9595

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2560 24th St
Ste 201
Rock Island, IL 61201
Phone (309) 779-3111

444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196

1405 W Park St
Ste 303
Urbana, IL 61801
Phone (217) 337-2924

Interoperability endpoints

  • Direct secure messaging: flutrin92349@direct.unitypoint.org

Organizations & group practices 10

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 1

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1770549420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WARRENVILLE RD",
            "address_2": "SUITE 280",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-324-7900",
            "fax_number": "630-324-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W PARK ST",
            "address_2": "SUITE 303",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-337-2924",
            "fax_number": "217-337-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTRIN",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036095869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUPAGE GROUP",
            "identifier": "344390",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36095869",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "URBANA/ROCKFORD/MOLINE",
            "identifier": "202172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COOK GROUP",
            "identifier": "526620",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flutrin41111@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.