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MD ORTHOTIC AND PROSTHETIC LABORATORY, INC
NPI 1679625560
Prosthetic/Orthotic Supplier in Joliet, IL

Active since January 18, 2007
3077 W JEFFERSON ST STE 101, JOLIET, IL 60435(779) 545-2270(779) 601-0195 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Sep 24, 2024, Jul 30, 2018 (3 updates tracked since 2018).

About Md Orthotic And Prosthetic Laboratory, Inc NPPES

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

MD ORTHOTIC AND PROSTHETIC LABORATORY, INC (NPI 1679625560) is a healthcare organization registered as a prosthetic/orthotic supplier in Joliet, Illinois and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Brookfield and lists Amit Bhanti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679625560
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMD ORTHOTIC AND PROSTHETIC LABORATORY, INC
Location Address3077 W JEFFERSON ST STE 101Joliet, IL 60435-5263
Mailing Address741 W Main StPeoria, IL 61606-1953 · (800) 334-5705 · Fax (888) 663-6322
Phone(779) 545-2270
Fax(779) 601-0195
Organization SubpartNo
Authorized OfficialAmit BhantiCeo · (309) 676-2276
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1679625560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in IL · 060008643213000063
Definition
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.
3077 W JEFFERSON ST STE 101, Joliet, IL 60435
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Secondary Practice Location 1

Location 18400 Brookfield Ave, 1st floorBrookfield, IL 60513 · Phone (888) 635-2271 · Fax (888) 635-3135

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories MD Orthotic & Prosthetic Laboratory carries, from the Medicare DMEPOS supplier directory.

MD Orthotic & Prosthetic Laboratory

DMEPOS supplier · Brookfield, ILOperated by MD Orthotic And Prosthetic Laboratory, Inc.
✔

Accepts Medicare assignment

MD Orthotic & Prosthetic Laboratory agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20510315
Medicare Participant SinceDecember 24, 2013
Supplier Location8400 Brookfield Ave 1st FloorBrookfield, IL 60513
Phone(888) 635-2271
Provider TypeMedical Supply Company With Pedorthic Personnel
Supplier Specialties
MSC With Prosthetic Personnel MSC With Orthotic-Prosthetic

Medicare Product Categories

Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Somatic Prostheses
Finger prosthesis, Hand prosthesis, Toe prosthesis
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 MD Orthotic And Prosthetic Laboratory, Inc's NPI number?

The NPI number for MD Orthotic And Prosthetic Laboratory, Inc is 1679625560. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is MD Orthotic And Prosthetic Laboratory, Inc located?

MD Orthotic And Prosthetic Laboratory, Inc is located at 3077 W Jefferson St Ste 101, Joliet, IL 60435. The listed phone number is (779) 545-2270.

What is MD Orthotic And Prosthetic Laboratory, Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does MD Orthotic And Prosthetic Laboratory, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, MD Orthotic & Prosthetic Laboratory accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does MD Orthotic And Prosthetic Laboratory, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list MD Orthotic And Prosthetic Laboratory, Inc 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.

When was this NPI record last updated?

The NPPES record for MD Orthotic And Prosthetic Laboratory, Inc was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.