Organization Active NPI

Cardinal Surgical Associates S C

  • Surgery Physician
  • New Lenox, IL
National Provider Identifier
1598090870
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036118697 Issued in IL
Legal business name
CARDINAL SURGICAL ASSOCIATES S C
Practice address
678 Cedar Crossings Dr Ste 200
New Lenox, IL 60451-5210
Phone
(815) 730-0202
Fax
(815) 730-0404
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Syed Bokhari, M.D.NPI 1982691259
Title
Owner
Phone
(815) 730-0202

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 036118697 IL Primary

Addresses

Primary practice location

678 Cedar Crossings Dr Ste 200
New Lenox, IL 60451-5210

Mailing address

678 Cedar Crossings Dr Ste 200
New Lenox, IL 60451-5210
Phone (815) 730-0202

Other identifiers 3

IdentifierTypeStateIssuer
09933057OtherILBCBS
036118697MedicaidIL
DP8067OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000628 IL Part B Supplier - Clinic/Group Practice 7719027333 Receives reassigned benefits from 1 practitioner
Practice locations: New Lenox, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1598090870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 CEDAR CROSSINGS DR STE 200",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604515210",
            "telephone_number": "815-730-0202",
            "fax_number": "815-730-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 CEDAR CROSSINGS DR STE 200",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604515210",
            "telephone_number": "815-730-0202",
            "fax_number": "815-730-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL SURGICAL ASSOCIATES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "BOKHARI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-730-0202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036118697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09933057",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118697",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP8067",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.