Organization Active NPI

Specialty Surgicare, LTD

  • Ambulatory Surgical Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1184245375
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SPECIALTY SURGICARE, LTD
Practice address
500 W Golf Rd Ste 102
Schaumburg, IL 60195-3503
Phone
(815) 404-6478
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Nisa Lami
Title
Governing Body
Phone
(815) 404-6478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

500 W Golf Rd Ste 102
Schaumburg, IL 60195-3503

Mailing address

500 W Golf Rd Ste 102
Schaumburg, IL 60195-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813003142 IL Part B Supplier - Ambulatory Surgical Center 5193141653 Practice locations: Schaumburg, IL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Specialty Surgicare LTDCCN 14C0001184
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2181742Specialty Surgicare, L L C500 W Golf Rd - Ste 102, Schaumburg, IL 60195Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

Locations

500 W Golf Rd
Ste 102
Schaumburg, IL 60195
Phone (815) 404-6478

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1184245375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W GOLF RD STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GOLF RD STE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953503",
            "telephone_number": "815-404-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGICARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "LAMI",
        "authorized_official_first_name": "NISA",
        "authorized_official_title_or_position": "GOVERNING BODY",
        "authorized_official_telephone_number": "815-404-6478"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.

Verify at the official NPI Registry.