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DR. DARRELL R LATVA DPM
NPI 1902890395
Podiatrist - Foot Surgery in Chicago, IL

Active since August 31, 2005PECOS Enrolled
1108 S KEDZIE AVE, CHICAGO, IL 60612(773) 722-2712 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Darrell R Latva Dpm NPPES

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

DR. DARRELL R LATVA DPM (NPI 1902890395) is an individual foot surgery provider in Chicago, Illinois, licensed in Illinois (016-003092) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902890395
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. DARRELL R LATVACredential: DPM
Location Address1108 S KEDZIE AVEChicago, IL 60612-3935
Mailing Address3537 Paysphere CirChicago, IL 60674-0035 · (708) 786-2900
Phone(773) 722-2712
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateFebruary 22, 2012
✔ NPI 1902890395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in IL · 016-003092
1108 S KEDZIE AVE, Chicago, IL 60612
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Other Identifiers 3

Medicare UPINT38481IL
Medicare ID-Type Unspecified647040IL
Medicaid016-003092-3IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Darrell R Latva Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

MOUNT SINAI COMMUNITY FOUNDATION
Internal Medicine
1108 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 722-2712
LIJO JOHN DPM
Podiatrist (Foot & Ankle Surgery)
1108 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 722-2712
RICHARD TRESTER MD
Obstetrics & Gynecology
1108 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 722-2712

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 Darrell Latva's NPI number?

The NPI number for Darrell Latva is 1902890395. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Darrell Latva located?

Darrell Latva practices at 1108 S Kedzie Ave, Chicago, IL 60612. The listed phone number is (773) 722-2712.

What is Darrell Latva's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Darrell Latva enrolled in Medicare?

Yes. Darrell Latva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Darrell Latva was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.