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SPECIALTY ORTHOPAEDICS LLC
NPI 1235637851
Orthopaedic Surgery in Hinsdale, IL

Active since January 29, 2018
911 N ELM ST STE 327, HINSDALE, IL 60521(630) 387-6589(630) 387-9789 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2022, Dec 14, 2021, Oct 5, 2019 and 1 more (4 updates tracked since 2018).

About Specialty Orthopaedics Llc NPPES

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

SPECIALTY ORTHOPAEDICS LLC (NPI 1235637851) is a healthcare organization registered as an orthopaedic surgery in Hinsdale, Illinois and active in the NPI registry since January 2018. The organization maintains 2 additional practice locations and lists Samuel Park, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1235637851
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSPECIALTY ORTHOPAEDICS LLC
Location Address911 N ELM ST STE 327Hinsdale, IL 60521-3642
Mailing Address911 N Elm St Ste 327Hinsdale, IL 60521-3642 · (630) 387-6589 · Fax (630) 387-9789
Phone(630) 387-6589
Fax(630) 387-9789
Organization SubpartNo
Authorized OfficialSamuel ParkPhysician/president · (630) 743-1337
Enumeration DateJanuary 29, 2018
Last NPPES UpdateOctober 12, 20224 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1235637851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed · 036118586
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
911 N ELM ST STE 327, Hinsdale, IL 60521
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Secondary Practice Locations 2

Location 120000 Governors Dr Ste 101Olympia Fields, IL 60461-3001 · Phone (630) 387-6589 · Fax (630) 387-9789
Location 212 Salt Creek Ln Ste 350Hinsdale, IL 60521-8612 · Phone (630) 387-6589 · Fax (630) 387-9789

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Specialty Orthopaedics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Specialty Orthopaedics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samuel Park, MD
Orthopedic Surgery
NPI 1851504377
911 N ELM ST STE 327
Hinsdale, IL 60521
(630) 387-6589
✔ PECOS✔ Accepts MedicareSame address

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 Specialty Orthopaedics LLC's NPI number?

The NPI number for Specialty Orthopaedics LLC is 1235637851. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Specialty Orthopaedics LLC located?

Specialty Orthopaedics LLC is located at 911 N Elm St Ste 327, Hinsdale, IL 60521. The listed phone number is (630) 387-6589.

What is Specialty Orthopaedics LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Specialty Orthopaedics LLC enrolled in Medicare?

Yes. Specialty Orthopaedics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Orthopaedics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Specialty Orthopaedics 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Specialty Orthopaedics LLC was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.