Champaign Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHAMPAIGN SURGICENTER, LLC

Practice address

1702 S Mattis Ave
Ste 105
Champaign, IL 61821-5469

Phone

(217) 326-9700

Fax

(217) 326-9710

NPI assigned

Jan 5, 2026

Organization subpart

Yes

Parent organization

THE CARLE FOUNDATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis P Hesch

Title

Cfo

Phone

(217) 326-8231

Specialties & licenses 1

Addresses

Other names 1

• CHAMPAIGN ENDOSCOPY CENTER Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Champaign Endoscopy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Champaign Surgicenter, LLC

  • Ambulatory Surgical Clinic/Center
  • Champaign, IL
  • NPI 1356400782
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Carle Health Care Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Urbana, IL
  • NPI 1356664767

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1134086069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 FIELDS SOUTH DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618223743",
            "telephone_number": "217-326-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S MATTIS AVE",
            "address_2": "STE 105",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215469",
            "telephone_number": "217-326-9700",
            "fax_number": "217-326-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAIGN SURGICENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CARLE FOUNDATION",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "HESCH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-326-8231"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPAIGN ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Champaign County YMCA
• Champaign Cu School District
• Champaign Endodontics PLLC
• Champaign Integrative Clinic, PLLC
• Champaign Rehabilitation Center LLC
• Champaign Surgicenter, LLC
• Champaign Treatment Center, LLC
• Champaign Urbana Public Health
• Champaign Urbana Public Health Department
• Champaign Urbana Public Health Department

• Ambulatory Surgical Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.