SUMMIT MEDICAL CENTER S.C.
NPI 1679744643
Clinic/Center - Primary Care in Summit, IL

Active since March 18, 2008CLIA 14D1005753 · Waiver
6252 S ARCHER RD, SUMMIT, IL 60501(708) 496-9549(708) 728-9429 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2022, Dec 11, 2015 (2 updates tracked since 2015).

About Summit Medical Center S.c. NPPES

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

SUMMIT MEDICAL CENTER S.C. (NPI 1679744643), doing business as Summit Medical Center, is a healthcare organization registered as a primary care in Summit, Illinois and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Ankit Shah, President, as its authorized official.

NPPES Registry Identity

NPI1679744643
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUMMIT MEDICAL CENTER S.C.
Location Address6252 S ARCHER RDSummit, IL 60501-1720
Mailing Address6252 S Archer RdSummit, IL 60501-1720 · (708) 496-9549 · Fax (708) 728-9429
Fax(708) 728-9429
Organization SubpartNo
Authorized OfficialAnkit ShahPresident · (708) 496-9549
Enumeration DateMarch 18, 2008
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1679744643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036086195
6252 S ARCHER RD, Summit, IL 60501

Other Names 1

Former Legal Business NameSummit Medical Center

Other Identifiers 1

Medicaid036086195IL

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)

Summit Medical Center S.c. 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 Summit Medical Center S.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1831516954
6252 S ARCHER RD
Summit, IL 60501
(708) 496-9549
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1003987298
6252 S ARCHER RD
Summit, IL 60501
(708) 496-9549
✔ PECOSSame address
Nurse Practitioner
NPI 1407977838
1100 E 87TH ST SUITE 900A
Chicago, IL 60619
(708) 310-5370
✔ PECOS✔ Accepts Medicare12 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 14D1005753

Summit Medical Center · Summit, IL
Active · expires Oct 29, 2026
CLIA Number14D1005753
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorKirit C. Shah
Laboratory Phone(708) 496-9549
Laboratory LocationSummit Medical Center6252 South Archer Road, Summit, IL 60501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Summit Medical Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Summit Medical Pharmacy Inc

DMEPOS supplier · Summit, IL
⋮

Does not accept Medicare assignment

Summit Medical Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20573957
Medicare Participant SinceApril 17, 2006
Supplier Location6252 S Archer RdSummit, IL 60501
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Summit Medical Center S.C.'s NPI number?

The NPI number for Summit Medical Center S.C. is 1679744643. It was assigned to this organization in the NPPES registry on March 18, 2008. The provider was formerly known as Summit Medical Center.

Where is Summit Medical Center S.C. located?

Summit Medical Center S.C. is located at 6252 S Archer Rd, Summit, IL 60501. The listed phone number is (708) 496-9549.

What is Summit Medical Center S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Summit Medical Center S.C. enrolled in Medicare?

Yes. Summit Medical Center S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Medical Center S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Summit Medical Center S.C., in Family Practice and Nurse Practitioner. 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.

Does Summit Medical Center S.C. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Summit Medical Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Summit Medical Center S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1005753) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Medical Center S.C. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Summit Medical Center S.C. 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 Summit Medical Center S.C. was last updated on August 29, 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.