NORTH SUBURBAN CENTER FOR ORAL & FACIAL SURGERY
NPI 1063695104
Dentist - Oral and Maxillofacial Surgery in Northbrook, IL
About North Suburban Center For Oral & Facial Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SUBURBAN CENTER FOR ORAL & FACIAL SURGERY (NPI 1063695104) is a healthcare organization registered as an oral and maxillofacial surgery in Northbrook, Illinois and active in the NPI registry since December 2007. The organization lists William L. Nickel, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
North Suburban Center For Oral & Facial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to North Suburban Center For Oral & Facial Surgery, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 North Suburban Oral Surgery, Ltd's NPI number?
The NPI number for North Suburban Oral Surgery, Ltd is 1063695104. It was assigned to this organization in the NPPES registry on December 12, 2007. The provider is doing business as North Suburban Center For Oral & Facial Surgery.
Where is North Suburban Oral Surgery, Ltd located?
North Suburban Oral Surgery, Ltd is located at 1240 Meadow Rd Suite 300, Northbrook, IL 60062. The listed phone number is (847) 272-9516.
What is North Suburban Oral Surgery, Ltd's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is North Suburban Oral Surgery, Ltd enrolled in Medicare?
Yes. North Suburban Oral Surgery, Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Suburban Oral Surgery, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Suburban Oral Surgery, Ltd, in Maxillofacial Surgery and Oral Surgery. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does North Suburban Oral Surgery, Ltd accept?
Health plans from UnitedHealthcare list North Suburban Oral Surgery, Ltd 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 North Suburban Oral Surgery, Ltd was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.