North Shore Surgical Suites, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH SHORE SURGICAL SUITES, LLC

Doing business as

North Shore Surgical Suites

Practice address

8400 Lakeview Parkway
Suite 800
Pleasant Prairie, WI 53158-5819

Phone

(708) 275-7799

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan Bailey

Title

Officer/Authorized Official

Phone

(203) 360-9111

Specialties & licenses 1

Addresses

Other names 1

• North Shore Surgical Suites Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

North Shore Surgical SuitesCCN 52D2128069

Listed as

North Shore Surgical SuitesCCN 52C0001125

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• American Hip Institute, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Des Plaines, IL
  • NPI 1285101808

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Practitioners 2

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

• Craig J. Della Valle, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1780663690
  NPD
• Gabriel S Levi, MD

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1922284603
  NPD

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1316487093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542916",
            "telephone_number": "972-763-3859",
            "fax_number": "972-920-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 LAKEVIEW PARKWAY",
            "address_2": "SUITE 800",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531585819",
            "telephone_number": "708-275-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-360-9111"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Shore Surgical Suites",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Shore Surgical Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandi J. Nath, OTR
• National Vision Inc
• David Needle, MD
• William Neimon
• Salman Ahmad Noor, MD
• Shaun Thomas O'Leary, MD, PHD
• Emily Ann O'Neal, MED, BCBA
• Sherri Lynn O'Shea, RDN, CD
• Old Oaks Dental LLC
• Dennis M Orellana Bonilla, NP

• Ambulatory Surgical Clinic/Center in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.