Active NPI
Schaumburg Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Schaumburg, IL
National Provider Identifier
1265964050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SCHAUMBURG SURGERY CENTER, LLC
- Practice address
- 929 W Higgins Rd
Schaumburg, IL 60195-3203 - Phone
- (847) 285-4350
- NPI assigned
- Mar 30, 2017
- 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
- Colleen Kerwin
- Title
- Director of Patient Services
- Phone
- (847) 285-4299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
929 W Higgins Rd
Schaumburg, IL 60195-3203
Mailing address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171004000273 | IL | Part B Supplier - Ambulatory Surgical Center | 2264707124 | Practice locations: Schaumburg, IL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Schaumburg Surgery Center
- 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 |
|---|---|---|---|
| 14D2130947 | Schaumburg Surgery Center LLC | Certificate of waiver | May 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
929 W Higgins Rd
Fl 2
Schaumburg, IL 60195
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Schaumburg, IL
- NPI 1609867035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490832000000",
"number": "1265964050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 W HIGGINS RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601953203",
"telephone_number": "847-285-4350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHAUMBURG SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A",
"authorized_official_last_name": "KERWIN",
"authorized_official_first_name": "COLLEEN",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT SERVICES",
"authorized_official_telephone_number": "847-285-4299"
},
"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
- Schaumburg Medicine and Endocrinology
- Schaumburg Oral & Maxillofacial Surgery
- Schaumburg Podiatry Center, Inc (Schaumburg Foot and Ankle Clinic)
- Schaumburg Skilled Nursing Facility LLC (Bella Terra Schaumburg)
- Schaumburg Spine & Sport PLLC
- Scheck & Siress Prosthetics, Inc
- Anna Glenda Scheele
- Tabatha Schein, M.S., LBA
- Amanda Schieler, PMHNP
- Douglas L Schiller, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.