ORCHID SUITE MEDICAL GROUP
NPI 1063555456
Obstetrics & Gynecology in Chicago, IL

Active since February 15, 2007
8012 S CRANDON AVE STE 100, CHICAGO, IL 60617(773) 356-5415(773) 768-6141 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 26, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Orchid Suite Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORCHID SUITE MEDICAL GROUP (NPI 1063555456) is a healthcare organization registered as an obstetrics & gynecology in Chicago, Illinois and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Hazel Crest and lists Ernest Anderson Hayes, President, as its authorized official.

NPPES Registry Identity

NPI1063555456
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameORCHID SUITE MEDICAL GROUP
Location Address8012 S CRANDON AVE STE 100Chicago, IL 60617-1124
Mailing Address400 E Randolph St, Suite 3730Chicago, IL 60601-7329 · (312) 565-2267 · Fax (312) 861-9415
Fax(773) 768-6141
Organization SubpartNo
Authorized OfficialErnest Anderson HayesPresident · (312) 565-2267
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1063555456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 03643976
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8012 S CRANDON AVE STE 100, Chicago, IL 60617

Secondary Practice Location 1

Location 13330 W 177th StHazel Crest, IL 60429-2184 · Phone (708) 333-3030 · Fax (708) 914-6020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orchid Suite Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Orchid Suite Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1083776678
3330 W 177TH ST STE 3G
Hazel Crest, IL 60429
(708) 333-3030
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orchid Suite Medical Group's NPI number?

The NPI number for Orchid Suite Medical Group is 1063555456. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Orchid Suite Medical Group located?

Orchid Suite Medical Group is located at 8012 S Crandon Ave Ste 100, Chicago, IL 60617. The listed phone number is (773) 356-5415.

What is Orchid Suite Medical Group's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Orchid Suite Medical Group enrolled in Medicare?

Yes. Orchid Suite Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orchid Suite Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Orchid Suite Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orchid Suite Medical Group accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Orchid Suite Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orchid Suite Medical Group was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.