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DR. KEITH M LERTSBURAPA M.D.
NPI 1538318308
Otolaryngology in Hinsdale, IL

Active since September 16, 2008PECOS EnrolledAccepts Medicare Assignment
11 SALT CREEK LN STE 101, HINSDALE, IL 60521(630) 789-3110 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 22, 2021, Nov 13, 2019 (2 updates tracked since 2019).

About Dr. Keith M Lertsburapa M.d. NPPES

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

DR. KEITH M LERTSBURAPA M.D. (NPI 1538318308) is an individual otolaryngology provider in Hinsdale, Illinois, licensed in Illinois (036.127737) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1538318308
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KEITH M LERTSBURAPACredential: M.D.
Location Address11 SALT CREEK LN STE 101Hinsdale, IL 60521-3032
Mailing Address11 Salt Creek Ln Ste 101Hinsdale, IL 60521-3032 · (630) 789-3110
Phone(630) 789-3110
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 16, 2008
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1538318308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036.127737
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
11 SALT CREEK LN STE 101, Hinsdale, IL 60521
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

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

Dr. Keith M Lertsburapa M.d. 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 ID7911175898
PECOS Enrollment IDI20110720000174
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 Keith Lertsburapa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Health Partners, Inc
Same address
Family Medicine
11 SALT CREEK LN, SUITE 125
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1225207798 (630) 655-1178

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
498 services288 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
341 services262 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
212 services212 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
195 services142 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services81 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
65 services63 patients

Hospital Affiliations CMS Care Compare 5

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

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

Uchicago Medicine Adventhealth Glenoaks

Acute Care Hospitals · Glendale Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140292
Location701 Winthrop AvenueGlendale Heights, IL 60139 · Du Page County
Emergency services Birthing friendly

Uchicago Medicine Adventhealth Bolingbrook

Acute Care Hospitals · Bolingbrook, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140304
Location500 Remington BoulevardBolingbrook, IL 60440 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Elaine ***** May 1, 2025

5/5
Dr Keith is very professional, thorough, inciteful and courteous. I recommend this doctor. .
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 9

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

DR. ALPHI P ELACKATTU MD
Otolaryngology
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 861-6275
DR. JESSE G. WARDLOW M.D.
Otolaryngology
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 789-3110
KATHLEEN HIGHHOUSE AU.D
Audiologist
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 789-3110
UZMA AKHTAR AUD
Audiologist
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 789-3110
GEORGIA YIANAS AUD
Audiologist
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 789-3110
VICTORIA S BRKOVICH M.D.
Otolaryngology
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 789-3110
DR. EILEEN M MAHONEY M.D.
Otolaryngology (Pediatric Otolaryngology)
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 789-3110
SARA SMILEY FARRERO M.A.
Audiologist
11 SALT CREEK LN STE 101
HINSDALE, IL 60521
Dupage County (630) 789-3110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Lertsburapa's NPI number?

The NPI number for Keith Lertsburapa is 1538318308. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Keith Lertsburapa located?

Keith Lertsburapa practices at 11 Salt Creek Ln Ste 101, Hinsdale, IL 60521. The listed phone number is (630) 789-3110.

What is Keith Lertsburapa's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Keith Lertsburapa enrolled in Medicare?

Yes. Keith Lertsburapa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Keith Lertsburapa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Lertsburapa reassigns Medicare benefits to Adventist Health Partners, Inc (Hinsdale, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Lertsburapa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Lertsburapa accept?

Health plans from Ambetter Health and Oscar Health list Keith Lertsburapa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Keith Lertsburapa affiliated with any hospitals?

According to CMS data, Keith Lertsburapa is affiliated with Adventist La Grange Memorial Hospital, Adventist Hinsdale Hospital, Loyola University Medical Center, Uchicago Medicine Adventhealth Glenoaks and Uchicago Medicine Adventhealth Bolingbrook.

When was this NPI record last updated?

The NPPES record for Keith Lertsburapa was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.