Suburban Metabolic Institute, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036114720 Issued in IL

Legal business name

SUBURBAN METABOLIC INSTITUTE, LLC

Practice address

908 N Elm St Ste 309
Hinsdale, IL 60521-3625

Phone

(708) 484-0621

Fax

(708) 484-0250

NPI assigned

May 25, 2010

Last updated

Nov 1, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SUBURBAN SURGICAL ASSOCIATES, LTDAs reported in NPPES

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

Authorized official

Name

Dr. Ryan C. Headley, M.D.NPI 1659309375

Title

General Surgeon

Phone

(708) 484-0621

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Suburban Surgical Associates LTD

Locations

Interoperability endpoints

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Suburban Surgical Associates, LTD

  • Surgery Physician
  • Hinsdale, IL
  • NPI 1821088667
  NPPES parent name

Practitioners 5

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.

• Ryan C Headley, M.D.

  • Surgery Physician
  • Hinsdale, IL
  • NPI 1659309375
  Medicare reassignment NPD Authorized official
• Mark S Choh, M.D.

  • Surgery Physician
  • Berwyn, IL
  • NPI 1023283611
  Medicare reassignment NPD
• Wayne Yang, MD

  • Single Specialty Group
  • Charlotte, NC
  • NPI 1730319336

  IL

  Medicare reassignment NPD
• Robin Lynn Favor, M.D.

  • Surgery Physician
  • Berwyn, IL
  • NPI 1912153909
  NPD (past)
• Jeffrey K Zawacki, M.D.

  • Surgery Physician
  • Berwyn, IL
  • NPI 1790774750
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1659690022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 309",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "708-484-0621",
            "fax_number": "708-484-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 309",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "708-484-0621",
            "fax_number": "708-484-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN METABOLIC INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUBURBAN SURGICAL ASSOCIATES, LTD",
        "enumeration_date": "2010-05-25",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "708-484-0621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036114720",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036118355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03611470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lyn Stromberg
• Larana A Stropus, MS, ATC
• Astrea Lisette Suarez, BA, BA, MA, PSYD
• Victor R Suarez, M.D.
• Suburban Cardiologists, S.C.
• Suburban Surgical Associates, LTD
• Faiza Sulaiman, DO
• Daniel Joseph Sullivan, M.D.
• Thomas D Sullivan, M.D.
• Superior Neurology and Emg, PLLC

• Specialist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.