CHAMPAIGN SURGICENTER, LLC
NPI 1134086069
Clinic/Center - Ambulatory Surgical in Champaign, IL
NPI Status: Active since January 05, 2026
Contact Information
1702 S MATTIS AVE
STE 105
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 326-9700
Fax: (217) 326-9710
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 14D0971649
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-25-2027
About CHAMPAIGN SURGICENTER, LLC
This page provides the complete NPI Profile along with additional information for Champaign Surgicenter, Llc, a provider established in Champaign, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1134086069 assigned on January 2026. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Dennis P Hesch (Cfo)
- NPI
- 1134086069
- Provider Name
- CHAMPAIGN SURGICENTER, LLC
- Entity Type
- Organization
- Location Address
- 1702 S MATTIS AVE STE 105 CHAMPAIGN, IL 61821
- Location Phone
- (217) 326-9700
- Location Fax
- (217) 326-9710
- Mailing Address
- 3103 FIELDS SOUTH DR CHAMPAIGN, IL 61822
- Mailing Phone
- (217) 326-9700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-05-2026
- Last Update Date
- 02-16-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0971649
- Facility Type
- Physician Office
- Certificate Effective Date
- June 26, 2025
- Certificate Expiration Date
- June 25, 2027
- Laboratory Director
- DR. FRANK J. BELLAFIORE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Champaign Surgicenter, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134086069, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134086069, enumerated as an "organization" on January 05, 2026.
The provider is located at 1702 S MATTIS AVE STE 105 CHAMPAIGN, IL 61821 and the phone number is (217) 326-9700.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
