NPIMap

Organization Active NPI

Suburban Surgical Care Specialists, S.C.

  • Surgery Physician
  • Hoffman Estates, IL
National Provider Identifier
1871613489
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
042.000700 Issued in IL
Legal business name
SUBURBAN SURGICAL CARE SPECIALISTS, S.C.
Practice address
4885 Hoffman Blvd.
Suite 400
Hoffman Estates, IL 60192-3722
Phone
(847) 255-9697
Fax
(847) 255-3206
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
James M Kane Jr., M.D., F.A.C.SNPI 1528028180
Title
Ceo
Phone
(847) 255-9697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 042.000700 IL Primary

Addresses

Primary practice location

4885 Hoffman Blvd.
Suite 400
Hoffman Estates, IL 60192-3722

Mailing address

4885 Hoffman Blvd.
Suite 400
Hoffman Estates, IL 60192-3722
Phone (847) 255-9697

Other identifiers 1

IdentifierTypeStateIssuer
0001609795OtherILBLUE CROSS GROUP ID

Other names 1

  • James M. Kane, M.D. SC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041027000087 IL Part B Supplier - Clinic/Group Practice 7113992918 Receives reassigned benefits from 11 practitioners
Practice locations: Elk Grove Village, IL; Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

1614 W Central Rd
Ste 105
Arlington Hts, IL 60005
Phone (847) 255-9697

800 Biesterfield Rd
Ste 555
Elk Grove Village, IL 60007
Phone (847) 255-9697

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEDBA

Practitioners & affiliated clinicians

Practitioners 11

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1871613489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD.",
            "address_2": "SUITE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923722",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD.",
            "address_2": "SUITE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923722",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN SURGICAL CARE SPECIALISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-255-9697",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., F.A.C.S"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "042.000700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP ID",
            "identifier": "0001609795",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James M. Kane, M.D. SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.