OSIPOVA SURGICAL SERVICE CORPORATION
NPI 1154974590
Surgery - Surgical Oncology in Chicago, IL

Q: What is Osipova Surgical Service Corporation's NPI number?

The NPI number for Osipova Surgical Service Corporation is 1154974590. It was assigned to this organization in the NPPES registry on July 23, 2019.

Q: What is Osipova Surgical Service Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Active since July 23, 2019

331 W SURF ST STE 714, CHICAGO, IL 60657(773) 561-7911 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 9, 2019, Jul 23, 2019 (2 updates tracked since 2019).

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About Osipova Surgical Service Corporation NPPES

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

OSIPOVA SURGICAL SERVICE CORPORATION (NPI 1154974590) is a healthcare organization registered as a surgical oncology in Chicago, Illinois and active in the NPI registry since July 2019. The organization lists Maria Osipova, Owner, as its authorized official.

NPPES Registry Identity

NPI1154974590

Entity TypeOrganization

Primary Taxonomy2086X0206X

Legal Business NameOSIPOVA SURGICAL SERVICE CORPORATION

Location Address331 W SURF ST STE 714Chicago, IL 60657-7227

Mailing Address1s376 Summit Ave Ste 4cOakbrook Terrace, IL 60181-3966 · (630) 424-1122

Phone(773) 561-7911

Organization SubpartNo

Authorized OfficialMaria OsipovaOwner · (773) 561-7911

Enumeration DateJuly 23, 2019

Last NPPES UpdateAugust 9, 20192 updates tracked since enumeration

✔ NPI 1154974590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X

331 W SURF ST STE 714, Chicago, IL 60657

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osipova Surgical Service Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Osipova Surgical Service Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Maria Osipova, MD

General Surgery

NPI 1447416722

331 W SURF ST STE 714
Chicago, IL 60657

(773) 561-7911

✔ PECOS✔ Accepts MedicareSame address

Marc Adajar, M.D.

General Surgery

NPI 1508947383

2845 N SHERIDAN ROAD, SUITE 714 SUITE 714
Chicago, IL 60657

(773) 561-7911

✔ PECOSSame address

Gerrit Dunford

General Surgery

NPI 1326493271

4309 W MEDICAL CENTER DR STE B202
Mchenry, IL 60050

(815) 455-2752

✔ PECOS✔ Accepts Medicare42 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 Osipova Surgical Service Corporation's NPI number?

The NPI number for Osipova Surgical Service Corporation is 1154974590. It was assigned to this organization in the NPPES registry on July 23, 2019.

Where is Osipova Surgical Service Corporation located?

Osipova Surgical Service Corporation is located at 331 W Surf St Ste 714, Chicago, IL 60657. The listed phone number is (773) 561-7911.

What is Osipova Surgical Service Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Osipova Surgical Service Corporation enrolled in Medicare?

Yes. Osipova Surgical Service Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Osipova Surgical Service Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in General Surgery, reassign their Medicare billing to Osipova Surgical Service Corporation. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Osipova Surgical Service Corporation was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.