Orthoillinois Surgery Center Elgin, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOILLINOIS SURGERY CENTER ELGIN, LLC

Practice address

2440 Alft Lane
Elgin, IL 60124

Phone

(815) 398-9491

NPI assigned

Aug 8, 2022

Last updated

Oct 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Elmer, CPCS

Title

Manager, Credentialing and Risk

Phone

(815) 381-7431

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Orthoillinois Surgery Center Elgin LLCCCN 14C0001195

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Brian J Bear, MD

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1164535837
  NPD
• Kevin Richard Carlile, M.D.

  • Orthopaedic Surgery Physician
  • Elgin, IL
  • NPI 1942511076
  NPD (past)
• John L Daniels, M.D.

  • Orthopaedic Surgery Physician
  • Algonquin, IL
  • NPI 1639188519
  NPD (past)
• Scott T Ferry, M.D.

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1417178385
  NPD (past)
• Rolando Izquierdo Jr., M.D.

  • Orthopaedic Surgery Physician
  • Algonquin, IL
  • NPI 1134138027
  NPD (past)
• Stephanie Nicole Leverentz, PA-C

  • Physician Assistant
  • Algonquin, IL
  • NPI 1346788627
  NPD (past)
• John Patrick Moore, PA-C

  • Physician Assistant
  • Rockford, IL
  • NPI 1265667083
  NPD (past)
• Marie E Rivers, PA-C

  • Physician Assistant
  • Algonquin, IL
  • NPI 1861590366
  NPD (past)
• Geoffrey S. Van Thiel, MD

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1316103971
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1710615869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144937",
            "telephone_number": "815-381-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 ALFT LANE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60124",
            "telephone_number": "815-398-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOILLINOIS SURGERY CENTER ELGIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING AND RISK",
        "authorized_official_telephone_number": "815-381-7431",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Doors of Kane County
• Ophthalmology Associates LTD
• Matas Orentas, DO
• Lorena M Orizaba
• Yajaira Ortega
• Orthomidwest, PLLC (OrthoIllinois)
• Orthopedic & Spine Surgery Assoc (Midwest Bone & Joint Institute)
• Orthopedic & Spine Surgery Assoc (Midwest Bone & Joint Institute)
• Orthopedic & Spine Surgery Assoc LTD (Midwest Bone & Joint Institute)
• Orthopedic & Spine Surgery Assoc LTD (Midwest Bone & Joint Institute)

• Ambulatory Surgical Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.