DR. PHILIP G LAMBRUSCHI M.D.
NPI 1053485508
Specialist in West Dundee, IL
NPI Status: Active since November 17, 2006
Contact Information
350 S 8TH ST
WEST DUNDEE, IL
ZIP 60118
Phone: (847) 836-3200
Fax: (847) 836-3204
- Individual
- Male
- Specialist
- Accepts Insurance
- PECOS Enrolled
About PHILIP LAMBRUSCHI
This page provides the complete NPI Profile along with additional information for Philip Lambruschi, a provider established in West Dundee, Illinois with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1053485508 assigned on November 2006. The practitioner's primary taxonomy code is 174400000X with license number 036-065955 (IL). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1053485508
- Provider Name
- DR. PHILIP G LAMBRUSCHI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 350 S 8TH ST WEST DUNDEE, IL 60118
- Location Phone
- (847) 836-3200
- Location Fax
- (847) 836-3204
- Mailing Address
- 350 S 8TH ST WEST DUNDEE, IL 60118
- Mailing Phone
- (847) 836-3200
- Mailing Fax
- (847) 836-3204
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-17-2006
- Last Update Date
- 08-06-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 036-065955
- License State
- IL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 173000000X | Other Service Providers | Legal Medicine | 036-065955 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
- BlueCare Direct Silver? Standard - Select Rx Copays with Advocate - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0360659551 | MEDICAID (05) | IL | |
| E17031 | MEDICARE UPIN (02) | IL | |
| P08062 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
Medicare Participation & PECOS Enrollment Status
Philip Lambruschi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Mastectomy
A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
This service was performed for 1-10 patientsReviews for DR. PHILIP G LAMBRUSCHI M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 4 | 8 | 5 | 5 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 8 | 8 | 10 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 8 + 8 + 1 + 0 + 5 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1053485508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
JOSEPH N MICHELOTTI MD
Surgery
350 S 8TH ST
WEST DUNDEE, IL
ZIP 60118
ELGIN SURGEONS LTD
Surgery
350 S 8TH ST
WEST DUNDEE, IL
ZIP 60118
DRS ROSENBERG & LAMBRUSCHI LTD
Clinic/Center
(Ambulatory Surgical)
350 S 8TH ST
WEST DUNDEE, IL
ZIP 60118
DR. JAY H ROSENBERG M.D.
Plastic Surgery
350 S 8TH ST
WEST DUNDEE, IL
ZIP 60118
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053485508, enumerated as an "individual" on November 17, 2006.
The provider is located at 350 S 8TH ST WEST DUNDEE, IL 60118 and the phone number is (847) 836-3200.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to verify.
