Organization Active NPI

Edens Orthopaedic Center LTD

  • Orthopaedic Surgery Physician
  • Lincolnwood, IL
National Provider Identifier
1881358620
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
EDENS ORTHOPAEDIC CENTER LTD
Practice address
4433 W Touhy Ave Ste 301
Lincolnwood, IL 60712-1832
Phone
(872) 529-6318
NPI assigned
Oct 27, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
David Saper, MDNPI 1164743118
Title
Owner
Phone
(773) 512-8804

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
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

4433 W Touhy Ave Ste 301
Lincolnwood, IL 60712-1832

Mailing address

4433 W Touhy Ave Ste 301
Lincolnwood, IL 60712-1832
Phone (872) 529-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220302000990 IL Part B Supplier - Clinic/Group Practice 0345634697 Receives reassigned benefits from 4 practitioners
Practice locations: Lincolnwood, IL
O20231010004195 IL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0345634697 Practice locations: Lincolnwood, IL

National Provider Directory

National Provider Directory
Tax ID family
Edens Orthopaedic Center LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1881358620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE STE 301",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121832",
            "telephone_number": "872-529-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 W TOUHY AVE STE 301",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121832",
            "telephone_number": "872-529-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENS ORTHOPAEDIC CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "SAPER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-512-8804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.