PHYSICIANS SURGICAL CENTER
NPI 1770042111
Clinic/Center - Ambulatory Surgical in O Fallon, IL

Q: What is O'fallon Surgical Center, LLC's NPI number?

The NPI number for O'fallon Surgical Center, LLC is 1770042111. It was assigned to this organization in the NPPES registry on March 15, 2019. The provider is doing business as Physicians Surgical Center.

Q: What is O'fallon Surgical Center, LLC's specialty?

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

Active since March 15, 2019CLIA 14D2163529 · Waiver

741 INSIGHT AVE, O FALLON, IL 62269(618) 239-0678(618) 235-0471 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2021, May 23, 2019, Mar 15, 2019 (3 updates tracked since 2019).

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About Physicians Surgical Center NPPES

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

PHYSICIANS SURGICAL CENTER (NPI 1770042111) is a healthcare organization registered as an ambulatory surgical in O Fallon, Illinois and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Shakeel Ahmed, Owner, as its authorized official.

NPPES Registry Identity

NPI1770042111

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameO'FALLON SURGICAL CENTER, LLC

Location Address741 INSIGHT AVEO Fallon, IL 62269-2193

Mailing Address5023 N Illinois StFairview Heights, IL 62208-3453 · (618) 239-0678 · Fax (618) 235-0471

Phone(618) 239-0678

Fax(618) 235-0471

Organization SubpartNo

Authorized OfficialShakeel AhmedOwner · (618) 239-0678

Enumeration DateMarch 15, 2019

Last NPPES UpdateJuly 12, 20213 updates tracked since enumeration

NPPES CertifiedJuly 12, 2021

✔ NPI 1770042111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

741 INSIGHT AVE, O Fallon, IL 62269

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Other Names 1

Doing Business AsPhysicians Surgical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 14D2163529

O'fallon Surgical Center · O Fallon, IL

Active · expires Mar 14, 2027

CLIA Number14D2163529

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 15, 2025

Certificate Expiration DateMarch 14, 2027

Laboratory DirectorShakeel Ahmed M D

Laboratory Phone(618) 239-0678

Laboratory LocationO'fallon Surgical Center741 Insight Ave, O Fallon, IL 62269

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

978 services605 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

111 services80 patients

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Other Providers at the Same Location NPPES

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

UNITED SURGICAL INSTITIUTE, PLLC

Surgery

741 INSIGHT AVE
O FALLON, IL 62269

St. Clair County (618) 239-0678

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 O'fallon Surgical Center, LLC's NPI number?

The NPI number for O'fallon Surgical Center, LLC is 1770042111. It was assigned to this organization in the NPPES registry on March 15, 2019. The provider is doing business as Physicians Surgical Center.

Where is O'fallon Surgical Center, LLC located?

O'fallon Surgical Center, LLC is located at 741 Insight Ave, O Fallon, IL 62269. The listed phone number is (618) 239-0678.

What is O'fallon Surgical Center, LLC's specialty?

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

Does O'fallon Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2163529) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does O'fallon Surgical Center, LLC accept?

Health plans from UnitedHealthcare list O'fallon Surgical Center, LLC 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 O'fallon Surgical Center, LLC was last updated on July 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.