MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
NPI 1205988797
Prosthetic/Orthotic Supplier in Oak Lawn, IL
NPI Status: Active since January 17, 2007
Contact Information
4710 W 95TH ST STE B4
OAK LAWN, IL
ZIP 60453
Phone: (773) 779-5896
Fax: (773) 779-8869
- Organization
- Prosthetic/Orthotic Supplier
- Medicare Supplier
- Accepts Medicare Approved Payment
About MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
This page provides the complete NPI Profile along with additional information for Md Orthotic And Prosthetic Laboratory, Inc, a provider established in Oak Lawn, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1205988797 assigned on January 2007. The practitioner's primary taxonomy code is 335E00000X with license number 060008643213000063 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Amit Bhanit Cpo (Ceo)
- NPI
- 1205988797
- Provider Name
- MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
- Entity Type
- Organization
- Location Address
- 4710 W 95TH ST STE B4 OAK LAWN, IL 60453
- Location Phone
- (773) 779-5896
- Location Fax
- (773) 779-8869
- Mailing Address
- 741 W MAIN ST PEORIA, IL 61606
- Mailing Phone
- (800) 334-5705
- Mailing Fax
- (773) 779-8869
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-17-2007
- Last Update Date
- 09-24-2024
- Code Navigator
Md Orthotic And Prosthetic Laboratory, Inc is a medicare supplier with PTAN 20510303 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Lymphedema Compression Treatment Items.
Location Map
Secondary Locations
- 10408 S Western Ave
Chicago, IL 60643
(773) 779-5896
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
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 060008643213000063
- License State
- IL
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20510303
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Provider Type List
- MEDICAL SUPPLY COMPANY WITH PEDORTHIC PERSONNEL.
- Competitive Bidding
- NO
Supplies List
- Lymphedema Compression Treatment Items -
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205988797, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205988797, enumerated as an "organization" on January 17, 2007.
The provider is located at 4710 W 95TH ST STE B4 OAK LAWN, IL 60453 and the phone number is (773) 779-5896.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
