ILLINOIS VALLEY SPINE INSTITUTE LLC
NPI 1336428192
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Peru, IL
NPI Status: Active since August 11, 2011
Contact Information
4231 PROGRESS BLVD
4
PERU, IL
ZIP 61354
Phone: (815) 780-8627
Fax: (815) 780-8630
- Organization
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- CLIA Number: 14D2079229
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-11-2026
About ILLINOIS VALLEY SPINE INSTITUTE LLC
This page provides the complete NPI Profile along with additional information for Illinois Valley Spine Institute Llc, a provider established in Peru, Illinois operating as a Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1336428192 assigned on August 2011. The practitioner's primary taxonomy code is 207XS0117X with license number 036-114114 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. Illinois Valley Spine Institute Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jason Bergandi M.d. (Orthopaedic Surgeon)
- NPI
- 1336428192
- Provider Name
- ILLINOIS VALLEY SPINE INSTITUTE LLC
- Entity Type
- Organization
- Location Address
- 4231 PROGRESS BLVD 4 PERU, IL 61354
- Location Phone
- (815) 780-8627
- Location Fax
- (815) 780-8630
- Mailing Address
- 4231 PROGRESS BLVD 4 PERU, IL 61354
- Mailing Phone
- (815) 780-8627
- Mailing Fax
- (815) 780-8630
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2011
- Last Update Date
- 11-28-2011
- Code Navigator
Location Map
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
Orthopaedic Surgery Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-114114
- License State
- IL
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL6014 | OTHER (01) | IL | MEDICARE |
| 036-114114 | MEDICAID (05) | IL | |
| 819300026 | MEDICARE PIN (08) | IL |
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
- 14D2079229
- Facility Type
- Physician Office
- Certificate Effective Date
- June 12, 2024
- Certificate Expiration Date
- June 11, 2026
- Laboratory Director
- CHRISTIAN B. SCHWARTZ D O
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Illinois Valley Spine Institute Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1336428192, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336428192, enumerated as an "organization" on August 11, 2011.
The provider is located at 4231 PROGRESS BLVD 4 PERU, IL 61354 and the phone number is (815) 780-8627.
Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
