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CHAMPAIGN SURGICENTER, LLC
NPI 1134086069
Clinic/Center - Ambulatory Surgical in Champaign, IL

Active since January 05, 2026CLIA 14D0971649 · Accreditation
1702 S MATTIS AVE, STE 105, CHAMPAIGN, IL 61821(217) 326-9700(217) 326-9710 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Champaign Surgicenter, Llc NPPES

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

CHAMPAIGN SURGICENTER, LLC (NPI 1134086069), doing business as Champaign Endoscopy Center, is a healthcare organization registered as an ambulatory surgical in Champaign, Illinois and active in the NPI registry since January 2026. The organization holds an CLIA Accreditation certificate valid through June 25, 2027 and lists Dennis P Hesch, Cfo, as its authorized official.

NPPES Registry Identity

NPI1134086069
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHAMPAIGN SURGICENTER, LLC
Location Address1702 S MATTIS AVE, STE 105Champaign, IL 61821-5469
Mailing Address3103 Fields South DrChampaign, IL 61822-3743 · (217) 326-9700
Phone(217) 326-9700
Fax(217) 326-9710
Organization SubpartYesParent: The Carle Foundation
Authorized OfficialDennis P HeschCfo · (217) 326-8231
Enumeration DateJanuary 5, 2026
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1134086069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1702 S MATTIS AVE, Champaign, IL 61821
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Other Names 1

Doing Business AsChampaign Endoscopy Center

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 Accreditation 14D0971649

Champaign Surgicenter L L C · Champaign, IL
Active · expires Jun 25, 2027
CLIA Number14D0971649
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorDr. Frank J. Bellafiore
Laboratory Phone(217) 383-5920
Laboratory LocationChampaign Surgicenter L L C3103 Fields South, Champaign, IL 61822
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA L DECAMARA M.D.
Surgery (Plastic and Reconstructive Surgery)
1702 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-2000
GORDON MONTGOMERY M.D.
Anesthesiology
1702 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-2000
CAROL A REEB CRNA
Nurse Anesthetist, Certified Registered
1702 S MATTIS AVE, ANESTHESIOLOGY
CHAMPAIGN, IL 61821
Champaign County (217) 326-2000
CARLE HEALTH CARE INCORPORATED
Durable Medical Equipment & Medical Supplies
1702 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-1330
CARLE CLINIC ASSOCIATION, PC
Durable Medical Equipment & Medical Supplies
1702 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-2030

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 Champaign Surgicenter, LLC's NPI number?

The NPI number for Champaign Surgicenter, LLC is 1134086069. It was assigned to this organization in the NPPES registry on January 5, 2026. The provider is doing business as Champaign Endoscopy Center.

Where is Champaign Surgicenter, LLC located?

Champaign Surgicenter, LLC is located at 1702 S Mattis Ave Ste 105, Champaign, IL 61821. The listed phone number is (217) 326-9700.

What is Champaign Surgicenter, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Champaign Surgicenter, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0971649) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Champaign Surgicenter, LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.