THORACIC SURGICAL ASSOCIATES, LLC
NPI 1225528979
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Chicago Ridge, IL

Active since May 17, 2018
10604 SOUTHWEST HIGHWAY, SUITE 101, CHICAGO RIDGE, IL 60415(708) 346-4065(708) 423-5799 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thoracic Surgical Associates, Llc NPPES

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

THORACIC SURGICAL ASSOCIATES, LLC (NPI 1225528979) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Chicago Ridge, Illinois and active in the NPI registry since May 2018. The organization lists Paul Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1225528979
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameTHORACIC SURGICAL ASSOCIATES, LLC
Location Address10604 SOUTHWEST HIGHWAY, SUITE 101Chicago Ridge, IL 60415
Mailing Address10604 Southwest Highway, Suite 101Chicago Ridge, IL 60415 · (708) 346-4065 · Fax (708) 423-5799
Fax(708) 423-5799
Organization SubpartNo
Authorized OfficialPaul GordonPresident · (708) 346-4065
Enumeration DateMay 17, 2018
✔ NPI 1225528979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IL · PENDING
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
10604 SOUTHWEST HIGHWAY, Chicago Ridge, IL 60415

Other Identifiers 1

OtherPENDINGIL · Il License

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)

Thoracic Surgical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

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

Clinicians, nearest first (3)

Thoracic Surgery
NPI 1356341994
10604 SOUTHWEST HWY STE 101
Chicago Ridge, IL 60415
(708) 346-4065
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1134114812
10604 SOUTHWEST HWY STE 101
Chicago Ridge, IL 60415
(708) 346-4065
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1740278217
6500 HOSPITAL DR
Hannibal, MO 63401
(573) 629-3400
✔ PECOS235 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 Thoracic Surgical Associates, LLC's NPI number?

The NPI number for Thoracic Surgical Associates, LLC is 1225528979. It was assigned to this organization in the NPPES registry on May 17, 2018.

Where is Thoracic Surgical Associates, LLC located?

Thoracic Surgical Associates, LLC is located at 10604 Southwest Highway Suite 101, Chicago Ridge, IL 60415. The listed phone number is (708) 346-4065.

What is Thoracic Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Thoracic Surgical Associates, LLC enrolled in Medicare?

Yes. Thoracic Surgical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thoracic Surgical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Thoracic Surgery, reassign their Medicare billing to Thoracic Surgical Associates, LLC. 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 Thoracic Surgical Associates, LLC was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.