NPIMap

Organization Active NPI

The Center for Sports Orthopaedics S.C.

  • Orthopaedic Surgery Physician
  • Hoffman Estates, IL
National Provider Identifier
1881756302
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
42006967 Issued in IL
Legal business name
THE CENTER FOR SPORTS ORTHOPAEDICS S.C.
Practice address
1585 Barrington Rd
101
Hoffman Estates, IL 60169-1090
Phone
(847) 884-7771
Fax
(847) 884-0666
NPI assigned
Dec 14, 2006
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Theodore Suchy, DONPI 1568410546
Title
President
Phone
(847) 884-7771

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 42006967 IL Primary

Addresses

Primary practice location

1585 Barrington Rd
101
Hoffman Estates, IL 60169-1090

Mailing address

1585 Barrington Rd
101
Hoffman Estates, IL 60169-5019
Phone (847) 884-7771

Other identifiers 2

IdentifierTypeStateIssuer
CL6988OtherILMEDICARE RR
1618989OtherILBCBS OF ILLINOIS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100527000047 IL Part B Supplier - Clinic/Group Practice 7618006834 Receives reassigned benefits from 11 practitioners
Practice locations: Elk Grove Village, IL; Hoffman Estates, IL
O20130905000825 IL DME Supplier - Physician - General PracticeDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 7618006834 Practice locations: Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

1585 N Barrington Rd
Ste 101
Hoffman Estates, IL 60169
Phone (847) 884-7771

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1881756302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "101",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695019",
            "telephone_number": "847-884-7771",
            "fax_number": "847-884-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "101",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-884-7771",
            "fax_number": "847-884-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR SPORTS ORTHOPAEDICS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "SUCHY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-884-7771",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "42006967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CL6988",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "1618989",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2017; 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.