Active NPI
Kendall Pointe Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Oswego, IL
National Provider Identifier
1851317614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 7002538
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0991118 | Kendall Pointe Surgery Center LLC | Certificate of waiver | Sep 11, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Aurora, IL
- NPI 1780659912
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.