Active NPI
David A Loiterman, M.D.
- Vascular Surgery Physician
- Hinsdale, IL
National Provider Identifier
1992731582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036-068602
- Practice address
- 7 N. Grant Street
1St Floor
Hinsdale, IL 60521-3366 - Phone
- (708) 354-8881
- Fax
- (708) 354-8340
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036-068602 | IL | Primary |
Addresses
Primary practice location
7 N. Grant Street
1St Floor
Hinsdale, IL 60521-3366
Mailing address
7 N. Grant Street
1St Floor
Hinsdale, IL 60521
Phone (708) 354-8881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036068602 | Medicaid | IL | |
| 020026349 | Other | MEDICARE RAILROAD | |
| 022-01663 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-068602 | IL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vein and Vascular Centers, SC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Hinsdale, IL
- NPI 1982119319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1992731582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 N. GRANT STREET",
"address_2": "1ST FLOOR",
"city": "HINSDALE",
"state": "IL",
"postal_code": "60521",
"telephone_number": "708-354-8881",
"fax_number": "708-354-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 N. GRANT STREET",
"address_2": "1ST FLOOR",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213366",
"telephone_number": "708-354-8881",
"fax_number": "708-354-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOITERMAN",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036-068602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036068602",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "020026349",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "022-01663",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.