Active NPI
Orthopedic Associates, SC
- Specialist
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 042-000037
- Legal business name
- ORTHOPEDIC ASSOCIATES, SC
- Practice address
- 415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929 - Phone
- (847) 593-5511
- Fax
- (847) 593-0872
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 10, 2024
- 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
- Thomas Y Kim, M.D.
- Title
- Vice-President
- Phone
- (847) 593-5511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 042-000037 | IL | Primary |
Addresses
Primary practice location
415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929
Mailing address
415 W Golf Rd
Suite 68
Arlington Heights, IL 60005-3929
Phone (847) 593-5511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1615125 | Other | IL | GROUP BCBS # |
| 0607120001 | Other | IL | CIGNA GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/FCBDCA
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Orthopaedic Surgery Physician
- Columbia, IL
- NPI 1538955349
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1669472759
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1487315925
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1013134394
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1205836392
-
- Physical Therapist
- Arlington Heights, IL
- NPI 1821168857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1184769911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GOLF RD",
"address_2": "SUITE 68",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053929",
"telephone_number": "847-593-5511",
"fax_number": "847-593-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W GOLF RD",
"address_2": "SUITE 68",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053929",
"telephone_number": "847-593-5511",
"fax_number": "847-593-0872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC ASSOCIATES, SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "847-593-5511",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "042-000037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS #",
"identifier": "1615125",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GROUP #",
"identifier": "0607120001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.