Organization Active NPI

Kendall Pointe Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Oswego, IL
National Provider Identifier
1851317614
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7002538 Issued in IL
Legal business name
KENDALL POINTE SURGERY CENTER LLC
Practice address
100 West Fifth St
Oswego, IL 60543-8338
Phone
(630) 449-0085
Fax
(630) 449-0090
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Scott Sporer
Title
Board Chair
Phone
(630) 449-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7002538 IL Primary

Addresses

Primary practice location

100 West Fifth St
Oswego, IL 60543-8338

Mailing address

PO Box 7010
Overland Park, KS 66207-0010
Phone (630) 449-0085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000804 IL Part B Supplier - Ambulatory Surgical Center 1759557234 Practice locations: Oswego, IL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Kendall Pointe Surgery Center LLCCCN 14C0001089
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0991118Kendall Pointe Surgery Center LLC100 West 5TH Street, Oswego, IL 60543Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1851317614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7010",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662070010",
            "telephone_number": "630-449-0085",
            "fax_number": "630-449-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST FIFTH ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438338",
            "telephone_number": "630-449-0085",
            "fax_number": "630-449-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL POINTE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "SPORER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "630-449-0085"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.