Individual provider Active NPI

Nikesh Lath, M.D

  • Surgery Physician
  • New Lenox, IL
National Provider Identifier
1194012260
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-138440 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 410
New Lenox, IL 60451-9547
Phone
(815) 717-8730
Fax
(815) 717-8729
NPI assigned
Jul 8, 2011
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036-138440 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 410
New Lenox, IL 60451-9547

Mailing address

1890 Silver Cross Blvd Ste 410
New Lenox, IL 60451-9547
Phone (815) 717-8730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007001762 IL Practitioner - General Surgery 1951619170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Surgical Associates SCGroup PAC ID 0042358673, 9 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 410
New Lenox, IL 60451-9547
Phone (815) 717-8730

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-138440ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Surgical Associates SC Surgery CurrentSince Jan 1, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 3, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 3, 2018 Accepting new patients
Surgical LTD Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Dept 5932
Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

1300 Copperfield Ave
Ste 3060
Joliet, IL 60432
Phone (815) 724-0932

1890 Silver Cross Blvd
Ste 410
New Lenox, IL 60451
Phone (815) 717-8730

1890 Silver Cross Blvd
Ste 520
New Lenox, IL 60451
Phone (815) 320-3060

1300 Franklin Ave
Ste 210
Normal, IL 61761
Phone (309) 268-3900

407 E Vernon Ave
Normal, IL 61761
Phone (309) 451-2231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDHAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1194012260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 410",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519547",
            "telephone_number": "815-717-8730",
            "fax_number": "815-717-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 410",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519547",
            "telephone_number": "815-717-8730",
            "fax_number": "815-717-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATH",
        "first_name": "NIKESH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-138440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.