NPIMap

Organization Active NPI

Southwest Surgical Associates

  • Surgery Physician
  • Joliet, IL
National Provider Identifier
1306921754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTHWEST SURGICAL ASSOCIATES
Practice address
1300 Copperfield Ave
Joliet, IL 60432-2004
Phone
(815) 727-4050
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Umesh Sharma, M.D.NPI 1174608525
Title
President
Phone
(815) 727-4050

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X IN Primary

Addresses

Primary practice location

1300 Copperfield Ave
Joliet, IL 60432-2004

Mailing address

10660 W 143Rd St Ste B
Orland Park, IL 60462-1989
Phone (708) 460-4499

Other identifiers 2

IdentifierTypeStateIssuer
CG7156OtherILPALMETTO RR MEDICARE
09923841OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1301 Copperfield Ave
Ste 204
Joliet, IL 60432
Phone (815) 727-4050

10811 W 143rd St
Orland Park, IL 60467
Phone (708) 226-0044

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306921754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST STE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621989",
            "telephone_number": "708-460-4499",
            "fax_number": "708-460-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 COPPERFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322004",
            "telephone_number": "815-727-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-727-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "CG7156",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09923841",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.