NICHOLAS JOHN LANZOTTI MD
NPI 1366079329
Urology in Maywood, IL

Q: What is Nicholas Lanzotti's NPI number?

The NPI number for Nicholas Lanzotti is 1366079329. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Nicholas Lanzotti's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Lanzotti was last updated on May 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: May 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2020, Mar 26, 2020 (2 updates tracked since 2020).

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About Nicholas John Lanzotti Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS JOHN LANZOTTI MD (NPI 1366079329) is an individual urology provider in Maywood, Illinois, licensed in Illinois (125.075755) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1366079329

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameNICHOLAS JOHN LANZOTTICredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-8757 · Fax (708) 216-1259

Phone(888) 584-7888

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateMay 30, 20202 updates tracked since enumeration

NPPES CertifiedMay 30, 2020

✔ NPI 1366079329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 125.075755

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2160 S 1ST AVE, Maywood, IL 60153

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Secondary Practice Location 1

Location 14032 Eagle Wing RdSpringfield, IL 62711-8092 · Phone (217) 622-8379

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas John Lanzotti Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426520511

PECOS Enrollment IDI20260619001155

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Lanzotti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Usc Care Medical Group, Inc

1,733 mi

General Practice

1520 SAN PABLO ST
Los Angeles, CA 90033

Reassigned Medicare billing, California enrollment
2,445 clinicians in this Medicare group

NPI 1902846306 (323) 442-5955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)