ILLINOIS BONE AND JOINT INSTITUTE LLC
NPI 1972264901
Orthopaedic Surgery in Munster, IN

NPI Status: Active since January 03, 2022

Contact Information

10110 DON S POWERS DR STE 101B
MUNSTER, IN
ZIP 46321
Phone: (219) 961-9480
Fax: (219) 961-9556

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  • Organization
  • Orthopaedic Surgery
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 15D2307940
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-05-2026

About ILLINOIS BONE AND JOINT INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for Illinois Bone And Joint Institute Llc, a provider established in Munster, Indiana operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1972264901 assigned on January 2022. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Illinois Bone And Joint Institute Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Wayne Goldstein (President)

NPI
1972264901
Provider Name
ILLINOIS BONE AND JOINT INSTITUTE LLC
Entity Type
Organization
Location Address
10110 DON S POWERS DR STE 101B MUNSTER, IN 46321
Location Phone
(219) 961-9480
Location Fax
(219) 961-9556
Mailing Address
900 RAND RD STE 300 DES PLAINES, IL 60016
Mailing Phone
(847) 324-3976
Mailing Fax
(219) 961-9556
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2022
Last Update Date
01-03-2022
Code Navigator



Illinois Bone And Joint Institute Llc is a medicare supplier with PTAN 20571737 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: Continuous Passive Motion (CPM) Devices or Contracture Treatment Devices: Dynamic Splint or Heat & Cold Applications or Pneumatic Compression Devices and/or Supplies or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Surgical Dressings or Diabetic Shoes and Inserts.

Location Map

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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WAYNE GOLDSTEIN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(847) 324-3976

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20571737
Accepts Medicare Assignment
YES
Provider Type List
ALL OTHER SUPPLIES (IE, DRUG STORES, ETC.), PHYSICIAN – GENERAL PRACTICE), PHYSICIAN – PHYSICAL AND REHABILITATION.
Competitive Bidding
NO

Supplies List

  • Continuous Passive Motion (CPM) Devices - Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • 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
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2307940
Facility Type
Physician Office
Certificate Effective Date
November 06, 2024
Certificate Expiration Date
November 05, 2026
Laboratory Director
RUCHIK S. DESAI
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Illinois Bone And Joint Institute Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1972264901, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 2 → 4 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 4 + 2 + 4 + 6 + 8 + 9 + 0 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1972264901.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physical Therapy Assistant
10110 DON S POWERS DR STE 101B
MUNSTER, IN 46321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972264901, enumerated as an "organization" on January 03, 2022.

The provider is located at 10110 DON S POWERS DR STE 101B MUNSTER, IN 46321 and the phone number is (219) 961-9480.

Orthopaedic Surgery with taxonomy code 207X00000X.