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SAUK VALLEY SURGICAL, PC
NPI 1619192556
Surgery in Dixon, IL

Active since April 16, 2007
5/5
Overall Rating
102 S HENNEPIN AVE, SUITE 120, DIXON, IL 61021(815) 288-1052(815) 284-0584 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sauk Valley Surgical, Pc NPPES

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

SAUK VALLEY SURGICAL, PC (NPI 1619192556) is a healthcare organization registered as a surgery in Dixon, Illinois and active in the NPI registry since April 2007. The organization lists Jaquelyne K Naylor, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619192556
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSAUK VALLEY SURGICAL, PC
Location Address102 S HENNEPIN AVE, SUITE 120Dixon, IL 61021-3083
Mailing AddressPo Box 514Dixon, IL 61021-0514 · (815) 288-1052 · Fax (815) 284-0584
Phone(815) 288-1052
Fax(815) 284-0584
Organization SubpartNo
Authorized OfficialJaquelyne K NaylorOffice Manager · (815) 288-1052
Enumeration DateApril 16, 2007
Last NPPES UpdateMarch 4, 2010
✔ NPI 1619192556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036082587
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
102 S HENNEPIN AVE, Dixon, IL 61021
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINYY11615
Medicaid036082587IL
Medicare ID-Type Unspecified209181

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

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Heritage Square (CMS certification number 14A357), from CMS Care Compare.

Heritage Square

Nursing home · Dixon, IL
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number14A357
Certified Beds27 beds18 residents per day on average
Medicare & Medicaid Participant SinceNovember 9, 1984
Resident & Family CouncilResident and family councils
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
19.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.92 · LPN 0.31 · RN 1.71
5.94 hrs per resident per day
Weekend Nurse Staffing
5.18 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
19.2%
Registered Nurse Turnover
22.2%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRK ANTHONY STEWART MD
Family Medicine
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 285-8520
JOYCE JOHNSON M.D.
Family Medicine
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 285-8520
MUHAMMAD AMEEN WASIM M.D.
Family Medicine
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 285-8908
PRANJAL M AGRAWAL M.D.
Internal Medicine
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 284-7733
JACLYN PRANITA PARAYAO MD
Family Medicine
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 285-8520
LISA M DENOBRIGA M.D.
Student in an Organized Health Care Education/Training Program
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 288-7711
SINNISSIPPI CENTERS, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 284-6611
TYLER WALSH M.D.
Family Medicine
102 S HENNEPIN AVE
DIXON, IL 61021
Lee County (815) 285-8520

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 Sauk Valley Surgical, PC's NPI number?

The NPI number for Sauk Valley Surgical, PC is 1619192556. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Sauk Valley Surgical, PC located?

Sauk Valley Surgical, PC is located at 102 S Hennepin Ave Suite 120, Dixon, IL 61021. The listed phone number is (815) 288-1052.

What is Sauk Valley Surgical, PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sauk Valley Surgical, PC a Medicare-certified nursing home?

Yes. Heritage Square is a Medicare-certified nursing home with 27 certified beds.

What quality rating does Sauk Valley Surgical, PC have?

CMS rates Heritage Square 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Sauk Valley Surgical, PC was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.