Active NPI
Ortheco LLC
- Prosthetic/Orthotic Supplier
- Glendale Heights, IL
National Provider Identifier
1841007101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Prosthetic/Orthotic Supplier
- Springfield, IL
- NPI 1245865245
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.