Sas Surgical LTD.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036095771 Issued in IL

Legal business name

SAS SURGICAL LTD.

Practice address

71 W 156TH St
Suite 311
Harvey, IL 60426-4260

Phone

(708) 476-8205

Fax

(815) 277-2999

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Sean Romberg, MDNPI 1043217078

Title

President

Phone

(708) 359-4767

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Sean Romberg, MD

  • Surgery Physician
  • Harvey, IL
  • NPI 1043217078
  Medicare reassignment Care Compare group NPD Authorized official
• Glory Obianuju Ikerodah, FNP

  • Nurse Practitioner
  • Kankakee, IL
  • NPI 1932675006
  Medicare reassignment Care Compare group NPD
• Kelly Stout, APRN, AGPCNP-C

  • Nurse Practitioner
  • Mokena, IL
  • NPI 1386596724
  Medicare reassignment NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1841676038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430820",
            "telephone_number": "708-862-7674",
            "fax_number": "708-862-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W 156TH ST",
            "address_2": "SUITE 311",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264260",
            "telephone_number": "708-476-8205",
            "fax_number": "815-277-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAS SURGICAL LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "ROMBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-359-4767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036095771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095771",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naryan Singh Sabherwal, M.D.
• Sadie Waterford Manor Assessment and Therapy Center
• Christine Ann Salvator, CRNA
• Rene E Santos, M.D.
• Shankar C Sanwalani, M.D.
• Scottlab, LTD.
• Scottlab, LTD.
• Maya Rae Searcy
• Serenity Haven Care NFP
• Nazila Shafagati, MD

• Surgery Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.