Individual provider Active NPI

Przemyslaw Lastowiecki, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hoffman Estates, IL
National Provider Identifier
1932181401
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036-086528 Issued in IL
Practice address
2500 W Higgins Rd
Ste 640
Hoffman Estates, IL 60169-2046
Phone
(847) 895-0440
Fax
(630) 894-0492
NPI assigned
Nov 18, 2005
Last updated
Feb 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-086528 IL Primary

Addresses

Primary practice location

2500 W Higgins Rd
Ste 640
Hoffman Estates, IL 60169-2046

Mailing address

1570 California Ave
Rolling Meadows, IL 60008-1101
Phone (847) 776-2257

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000476 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 5294782124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schaumburg Medicine and EndocrinologyGroup PAC ID 9133176068, 2 clinicians

Practice addresses (Care Compare)

2500 W Higgins Rd
Suite 640
Hoffman Estates, IL 60169-2046
Phone (847) 895-0440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-086528ILMDEndocrinology, Diabetes & Metabolism Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1932181401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CALIFORNIA AVE",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081101",
            "telephone_number": "847-776-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W HIGGINS RD",
            "address_2": "STE 640",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692046",
            "telephone_number": "847-895-0440",
            "fax_number": "630-894-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTOWIECKI",
        "first_name": "PRZEMYSLAW",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-086528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.