Organization Active NPI

Parkview Orthopaedic Group S C

  • Orthopaedic Surgery Physician
  • New Lenox, IL
National Provider Identifier
1689269839
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PARKVIEW ORTHOPAEDIC GROUP S C
Practice address
688 Cedar Crossings Dr
New Lenox, IL 60451-5200
Phone
(815) 727-3030
Fax
(815) 463-8268
NPI assigned
Mar 9, 2021
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKVIEW ORTHOPAEDIC GROUP S CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Maria Flamburis
Title
Revenue Cycle Manager
Phone
(708) 361-0600

Specialties & licenses 1

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

Addresses

Primary practice location

688 Cedar Crossings Dr
New Lenox, IL 60451-5200

Mailing address

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000361 IL Part B Supplier - Clinic/Group Practice 9335134691 Receives reassigned benefits from 56 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palos Heights, IL; Orland Park, IL; Oak Lawn, IL; New Lenox, IL; Mokena, IL; Joliet, IL

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Parkview Orthopaedic GR4 organizations share this tax ID, including this one
Part of
Parkview Orthopaedic GR

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1689269839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-0600",
            "fax_number": "708-923-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 CEDAR CROSSINGS DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604515200",
            "telephone_number": "815-727-3030",
            "fax_number": "815-463-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW ORTHOPAEDIC GROUP S C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW ORTHOPAEDIC GROUP S C",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "FLAMBURIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "708-361-0600"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 19, 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.