WESTERN DIVERSEY SURGICAL CENTER
NPI 1265583934
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since January 16, 2007CLIA 14D0665170 · Waiver
2744 N WESTERN AVE, CHICAGO, IL 60647(773) 772-7726(773) 772-3696 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Western Diversey Surgical Center NPPES

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

WESTERN DIVERSEY SURGICAL CENTER (NPI 1265583934) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Renlin Xia, Owner, as its authorized official.

NPPES Registry Identity

NPI1265583934
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMERICAN WOMENS MEDICAL GROUP
Location Address2744 N WESTERN AVEChicago, IL 60647
Mailing Address2744 N Western AveChicago, IL 60647 · (773) 772-7726 · Fax (773) 772-3696
Fax(773) 772-3696
Organization SubpartNo
Authorized OfficialRenlin XiaOwner · (773) 235-8000
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJune 14, 2019
✔ NPI 1265583934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IL · 7000037
2744 N WESTERN AVE, Chicago, IL 60647

Other Names 1

Doing Business AsWestern Diversey Surgical Center

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Western Diversey Surgical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Western Diversey Surgical Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

General Practice
NPI 1790809960
3412 W FULLERTON AVE
Chicago, IL 60647
(773) 235-8000
✔ PECOS1.3 mi
Anesthesiology
NPI 1467492728
244 E. ROOSEVELT RD.
Lombard, IL 60148
(630) 629-6298
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0665170

Western Diversey Surgical Center · Chicago, IL
Active · expires Nov 13, 2026
CLIA Number14D0665170
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorTian Xia
Laboratory Phone(773) 772-7575
Laboratory LocationWestern Diversey Surgical Center2744 N Western Ave, Chicago, IL 60647
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 American Womens Medical Group's NPI number?

The NPI number for American Womens Medical Group is 1265583934. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Western Diversey Surgical Center.

Where is American Womens Medical Group located?

American Womens Medical Group is located at 2744 N Western Ave, Chicago, IL 60647. The listed phone number is (773) 772-7726.

What is American Womens Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is American Womens Medical Group enrolled in Medicare?

Yes. American Womens Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through American Womens Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to American Womens Medical Group, in Anesthesiology and General Practice. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does American Womens Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0665170) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does American Womens Medical Group accept?

Health plans from Baylor Scott and White Health Plan and Sanford Health Plan list American Womens Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for American Womens Medical Group was last updated on June 14, 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.