Active NPI
Arlington Heights Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Arlington Heights, IL
National Provider Identifier
1013612423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ARLINGTON HEIGHTS SURGERY CENTER, LLC
- Practice address
- 1100 W Central Rd Ste 102
Arlington Heights, IL 60005-2402 - Phone
- (847) 259-3080
- NPI assigned
- Apr 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert McCarville, MPA
- Title
- Administrator
- Phone
- (417) 889-2040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1100 W Central Rd Ste 102
Arlington Heights, IL 60005-2402
Mailing address
1100 W Central Rd
Arlington Heights, IL 60005-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231213000169 | IL | Part B Supplier - Ambulatory Surgical Center | 0840649075 | Practice locations: Arlington Heights, IL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Arlington Heights Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2286261 | Arlington Heights Surgery Center, LLC | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
1100 W Central Rd
Arlington Hts, IL 60005
Phone (847) 259-2410
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Des Plaines, IL
- NPI 1659314375
-
- Retina Specialist (Ophthalmology) Physician
- Des Plaines, IL
- NPI 1033184528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1013612423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W CENTRAL RD STE 102",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052402",
"telephone_number": "847-259-3080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLINGTON HEIGHTS SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A",
"authorized_official_last_name": "MCCARVILLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "417-889-2040",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
- Arlington Heights Medical Assoc.S.C.
- Arlington Heights Medical, SC
- Arlington Heights Radiology Center, LLC
- Arlington Heights School District 25
- Arlington Heights Spine Pain and Orthopedics
- Arlington Medical Associates PC
- Arlington Multi Specialty Medical Center
- Arlington Nursing and Rehab Center LLC
- Arlington Orthodontics PC
- Arlington Pediatric Therapy Services, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.