Active NPI
Dreyer Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Aurora, IL
National Provider Identifier
1396896684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 7001779
- Legal business name
- DREYER AMBULATORY SURGERY CENTER, LLC
- Practice address
- 1221 N Highland Ave
Aurora, IL 60506-1404 - Phone
- (630) 264-8400
- Fax
- (630) 264-8402
- NPI assigned
- Jan 15, 2007
- Last updated
- Jan 28, 2026
- 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
- Kara Richardson
- Title
- VP Managed Health
- Phone
- (980) 416-4068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 7001779 | IL | Primary |
Addresses
Primary practice location
1221 N Highland Ave
Aurora, IL 60506-1404
Mailing address
28602 Network PL
Chicago, IL 60673-1286
Phone (630) 264-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590 | Other | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100201000291 | IL | Part B Supplier - Ambulatory Surgical Center | 2769525666 | Practice locations: Aurora, IL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Dreyer Medical Ambulatory 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 |
|---|---|---|---|
| 14D0877927 | Dreyer Ambulatory Surgery Center | Certificate of waiver | Oct 13, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1871364703
Member Of
-
dba Dreyer Medical Clinic
- Multi-Specialty Clinic/Center
- Yorkville, IL
- NPI 1124492111
Member Of
Locations
2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1396896684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28602 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731286",
"telephone_number": "630-264-8400",
"fax_number": "630-264-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N HIGHLAND AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605061404",
"telephone_number": "630-264-8400",
"fax_number": "630-264-8402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREYER AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "VP MANAGED HEALTH",
"authorized_official_telephone_number": "980-416-4068"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IL",
"license": "7001779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "590",
"state": null
}
],
"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",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.