DEERPATH AMBULATORY SURGICAL CENTER, LLC
NPI 1215040464
Clinic/Center - Ambulatory Surgical in Morris, IL

NPI Status: Active since August 15, 2006

Contact Information

1051 W US ROUTE 6
MORRIS, IL
ZIP 60450
Phone: (815) 318-5666
Fax: (815) 318-5676

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 14D1016274
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-24-2027

About DEERPATH AMBULATORY SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Deerpath Ambulatory Surgical Center, Llc, a provider established in Morris, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1215040464 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is Deerpath Orthopedic Surgical Center. The authorized official of this NPI record is Ashley Hilliard (Administrator)

NPI
1215040464
Provider Legal Name
DEERPATH AMBULATORY SURGICAL CENTER, LLC
Other Organization Name
DEERPATH ORTHOPEDIC SURGICAL CENTER
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1051 W US ROUTE 6 MORRIS, IL 60450
Location Phone
(815) 318-5666
Location Fax
(815) 318-5676
Mailing Address
1051 W US ROUTE 6 MORRIS, IL 60450
Mailing Phone
(815) 318-5666
Mailing Fax
(815) 318-5676
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-15-2006
Last Update Date
09-02-2022
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ASHLEY HILLIARD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(815) 318-5626

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 67 times for 64 patients

Banding of hemorrhoids using a flexible endoscope (colonoscope)

Banding of hemorrhoids using a colonoscope is a procedure to treat swollen blood vessels in your lower digestive tract. A flexible tube with a light and camera, called a colonoscope, helps locate the hemorrhoids. Then, tiny rubber bands are placed around them, cutting off their blood supply. This causes them to shrink and fall off.

This service was performed 17 times for 17 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 252 times for 247 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 99 times for 98 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 40 times for 40 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 16 times for 16 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 17 times for 14 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 18 times for 11 patients

Injection, bupivacaine liposome, 1 mg

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

This service was performed 5,056 times for 20 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 23 times for 21 patients

Removal of both knee cartilages using an endoscope

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

This service was performed 15 times for 15 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 304 times for 191 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 14 times for 14 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 43 times for 43 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 188 times for 188 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 16 times for 16 patients

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
14D1016274
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 25, 2025
Certificate Expiration Date
August 24, 2027
Laboratory Director
ASHLEY HILLIARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Deerpath Ambulatory Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1215040464, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 0 → 0 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 0 + 4 + 0 + 4 + 1 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1215040464.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1051 W US ROUTE 6, SUITE 100
MORRIS, IL 60450
Nurse Practitioner
1051 W US ROUTE 6, SUITE 100
MORRIS, IL 60450
Physician Assistant (Medical)
1051 W US ROUTE 6, SUITE 100
MORRIS, IL 60450
Podiatrist (Foot & Ankle Surgery)
1051 W US ROUTE 6, SUITE 100
MORRIS, IL 60450
Physical Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Occupational Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Occupational Therapy Assistant
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Physical Therapy Assistant
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Physical Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Durable Medical Equipment & Medical Supplies
1051 W US ROUTE 6, SUITE 100
MORRIS, IL 60450
Occupational Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Physical Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Physical Therapist
1051 W US ROUTE 6, STE 400
MORRIS, IL 60450
Orthopaedic Surgery
1051 W US ROUTE 6, SUITE 100
MORRIS, IL 60450
Occupational Therapist
1051 W US ROUTE 6, STE 400
MORRIS, IL 60450
Physical Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Occupational Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Physical Therapist
1051 W US ROUTE 6, SUITE 400
MORRIS, IL 60450
Nurse Practitioner (Acute Care)
1051 W US ROUTE 6, SUITE 100
MORRIS, IL 60450
Physical Therapist
1051 W US ROUTE 6
MORRIS, IL 60450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215040464, enumerated as an "organization" on August 15, 2006.

The provider is located at 1051 W US ROUTE 6 MORRIS, IL 60450 and the phone number is (815) 318-5666.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.