Organization Active NPI

Fox Valley Orthopaedic Associates, S.C.

  • Orthopaedic Surgery Physician
  • Elgin, IL
National Provider Identifier
1689212623
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C.
Practice address
2350 Royal Blvd
Elgin, IL 60123-4719
Phone
(847) 931-5300
NPI assigned
Dec 19, 2019
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Debbie Navigato
Title
Credentialing Coordinator
Phone
(630) 938-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

2350 Royal Blvd
Elgin, IL 60123-4719

Mailing address

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (630) 938-4011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826000082 IL Part B Supplier - Clinic/Group Practice 6507830387 Receives reassigned benefits from 83 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aurora, IL; Barrington, IL; Elgin, IL; Geneva, IL; Huntley, IL; Yorkville, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Fox Valley Orthopedic Assoc

Locations

1444 N Farnsworth Ave
Ste 191
Aurora, IL 60505
Phone (331) 258-2500

420 W Northwest Hwy
Barrington, IL 60010
Phone (847) 277-1376

1975 Lin Lor Ln
Ste Pt
Elgin, IL 60123

2350 Royal Blvd
Elgin, IL 60123
Phone (847) 695-8100

13308 Village Green Dr
Huntley, IL 60142
Phone (847) 441-9600

Practitioners & affiliated clinicians

Practitioners 78

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.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1689212623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-938-4011",
            "fax_number": "630-584-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 ROYAL BLVD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234719",
            "telephone_number": "847-931-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOX VALLEY ORTHOPAEDIC ASSOCIATES, S.C.",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "NAVIGATO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "630-938-4011"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.