SUBURBAN GYNECOLOGY, LLC
NPI 1063602217
Obstetrics & Gynecology in Joliet, IL
About Suburban Gynecology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUBURBAN GYNECOLOGY, LLC (NPI 1063602217), doing business as Suburban Obstetrics & Gynecology, Llc., is a healthcare organization registered as an obstetrics & gynecology in Joliet, Illinois and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through September 28, 2028 and lists Nahla Merhi, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Suburban Gynecology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Suburban Gynecology, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D1089841
Suburban Gynecology LLC · New Lenox, ILFrequently 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 Suburban Gynecology, LLC's NPI number?
The NPI number for Suburban Gynecology, LLC is 1063602217. It was assigned to this organization in the NPPES registry on July 25, 2007. The provider was formerly known as Suburban Obstetrics & Gynecology, LLC..
Where is Suburban Gynecology, LLC located?
Suburban Gynecology, LLC is located at 1301 Copperfield Avenue Suite 113, Joliet, IL 60432. The listed phone number is (815) 727-7515.
What is Suburban Gynecology, LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Suburban Gynecology, LLC enrolled in Medicare?
Yes. Suburban Gynecology, LLC is registered in the Medicare PECOS enrollment system.
When is Suburban Gynecology, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Suburban Gynecology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Suburban Gynecology, LLC. 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. The largest specialties are Nurse Practitioner (7) and Obstetrics/Gynecology (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Suburban Gynecology, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1089841) is associated with this NPI, valid through September 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Suburban Gynecology, LLC accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Suburban Gynecology, LLC 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 Suburban Gynecology, LLC was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Suburban Gynecology, Llc · NPI 1063602217
Obstetrics & Gynecology organization in Joliet, Illinois. Organization record, active in the CMS NPPES registry since July 25, 2007.
## Identity
- **NPI:** 1063602217 (Entity type: Organization)
- **Enumerated:** July 25, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Nahla Merhi, PROVIDER
## Practice location
- **Address:** 1301 COPPERFIELD AVENUE, SUITE 113, Joliet, IL 60432-2004
- **Phone:** (815) 727-7515 · **Fax:** (815) 727-5147
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Obstetrics/Gynecology (2); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2012
- **Other identifiers:** Other 14D1089841 (IL); Medicaid 036107262 (IL); Medicare PIN K44404 (IL); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063602217) · Data from the CMS NPPES public registry.