Darrell R Latva, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

016-003092 Issued in IL

Practice address

1108 S Kedzie Ave
Chicago, IL 60612-3935

Phone

(773) 722-2712

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1902890395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740035",
            "telephone_number": "708-786-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123935",
            "telephone_number": "773-722-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATVA",
        "first_name": "DARRELL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016-003092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016-003092-3",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Michelle Lattner, DNP APRN
• Grace Lattner, WHNP-BC
• Elizabeth Ann Lattyak
• Brittney Laturno, CF-SLP
• Lauren Gal Latuszek
• Daniel Gregory Latyshev, MD
• Lau Medical, LLC
• Brandon Lau
• Brian Lau, PHARMD
• Cesar L Lau, O.D.

• Foot Surgery Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.