Individual provider Active NPI

Nicholas Joseph Speziale, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Elmhurst, IL
National Provider Identifier
1992721385
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
036-087251 Issued in IL
Practice address
1200 S York Rd
Suite 3200
Elmhurst, IL 60126-5626
Phone
(630) 758-8777
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 036-087251 IL Primary

Addresses

Primary practice location

1200 S York Rd
Suite 3200
Elmhurst, IL 60126-5626

Mailing address

1200 S York Rd
Suite 3200
Elmhurst, IL 60126-5626
Phone (630) 758-8777

Other identifiers 2

IdentifierTypeStateIssuer
24000-8019OtherILMEDICARE RR
24000-7639OtherILMEDICARE RR

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
I20040209000442 IL Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 1557255981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Rush Medical College of Rush University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Hand Surgery SCGroup PAC ID 5597945857, 3 clinicians

Practice addresses (Care Compare)

1200 S York St
Suite 3200
Elmhurst, IL 60126-5637
Phone (630) 359-6888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087251ILMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hand Surgery SC CurrentSince Oct 16, 2010 Accepting new patients
Hand and Plastic Surgery Assoc.,LTD. Past Accepting new patients

Locations

62025 Collections Ctr D
Chicago, IL 60693

1200 S York St
Ste 3200
Elmhurst, IL 60126
Phone (630) 359-6888

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

7460 W College Dr
Fl 2
Palos Heights, IL 60463
Phone (630) 359-6888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1992721385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 3200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-758-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD",
            "address_2": "SUITE 3200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265626",
            "telephone_number": "630-758-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZIALE",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "IL",
            "license": "036-087251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "24000-8019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "24000-7639",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.