Organization Active NPI

Ortheco LLC

  • Prosthetic/Orthotic Supplier
  • Glendale Heights, IL
National Provider Identifier
1841007101
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ORTHECO LLC
Practice address
1155 N Main St Ste E
Glendale Heights, IL 60139-3508
Phone
(872) 351-3732
Fax
(314) 461-1713
NPI assigned
Dec 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mr. Romel Bhanti, CP, LP
Title
President
Phone
(217) 419-6075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1155 N Main St Ste E
Glendale Heights, IL 60139-3508

Mailing address

4105 Union Rd
Saint Louis, MO 63129-1064
Phone (314) 492-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250509000444 IL DME Supplier - Prosthetic Personnel 8820329790 Practice locations: Glendale Heights, IL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2061 Timberbrook Dr
Springfield, IL 62702
Phone (217) 546-2000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1841007101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 UNION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291064",
            "telephone_number": "314-492-0080",
            "fax_number": "314-461-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N MAIN ST STE E",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393508",
            "telephone_number": "872-351-3732",
            "fax_number": "314-461-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHECO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "BHANTI",
        "authorized_official_first_name": "ROMEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-419-6075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP, LP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.