NPIMap

Organization Active NPI

Chicago Institute of Advanced Surgery

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1558600957
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CHICAGO INSTITUTE OF ADVANCED SURGERY
Practice address
200 W Superior St Ste 300
Chicago, IL 60654-5563
Phone
(773) 327-6800
Fax
(773) 327-6877
NPI assigned
Feb 5, 2013
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Dr. Rami Lutfi, M.D.NPI 1447237425
Title
President
Phone
(773) 327-6800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X
Surgery Physician 208600000X Primary

Addresses

Primary practice location

200 W Superior St Ste 300
Chicago, IL 60654-5563

Mailing address

200 W Superior St Ste 300
Chicago, IL 60654-5563
Phone (773) 327-6800

Other practice location 1

8901 Golf Rd Ste 305
Des Plaines, IL 60016-4029
Phone (773) 327-6800

Other identifiers 2

IdentifierTypeStateIssuer
36124476MedicaidIL
F400193534OtherMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141204001366 IL Part B Supplier - Clinic/Group Practice 3779805619 Receives reassigned benefits from 10 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

200 W Superior St
Ste 300
Chicago, IL 60654
Phone (773) 327-6800

8901 Golf Rd
Ste 305
Des Plaines, IL 60016
Phone (773) 327-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6721/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1558600957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SUPERIOR ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545563",
            "telephone_number": "773-327-6800",
            "fax_number": "773-327-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SUPERIOR ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545563",
            "telephone_number": "773-327-6800",
            "fax_number": "773-327-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Golf Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600164029",
            "country_code": "US",
            "telephone_number": "773-327-6800",
            "fax_number": "773-327-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO INSTITUTE OF ADVANCED SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "LUTFI",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-327-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36124476",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC",
            "identifier": "F400193534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.