SUBURBAN SURGERY CENTER
NPI 1801876586
Surgery in Elmwood Park, IL
About Suburban Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUBURBAN SURGERY CENTER (NPI 1801876586) is a healthcare organization registered as a surgery in Elmwood Park, Illinois and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Kathleen Burdett, Administrative Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Group Practice 1
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)
Suburban Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Suburban Surgery Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
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 14D2060868
Tiesenga Surgical Associates S C · Elmwood Park, ILFrequently 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 Tiesenga Surgical Associates, S.C.'s NPI number?
The NPI number for Tiesenga Surgical Associates, S.C. is 1801876586. It was assigned to this organization in the NPPES registry on January 19, 2006. The provider is doing business as Suburban Surgery Center.
Where is Tiesenga Surgical Associates, S.C. located?
Tiesenga Surgical Associates, S.C. is located at 1950 N Harlem Ave, Elmwood Park, IL 60707. The listed phone number is (708) 453-6800.
What is Tiesenga Surgical Associates, S.C.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Tiesenga Surgical Associates, S.C. enrolled in Medicare?
Yes. Tiesenga Surgical Associates, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tiesenga Surgical Associates, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Tiesenga Surgical Associates, S.C.. 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. The largest specialties are General Surgery (5) and Nurse Practitioner (3). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tiesenga Surgical Associates, S.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2060868) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tiesenga Surgical Associates, S.C. accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Tiesenga Surgical Associates, 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 Tiesenga Surgical Associates, S.C. was last updated on October 18, 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.
# Suburban Surgery Center · NPI 1801876586
Surgery organization in Elmwood Park, Illinois. Organization record, active in the CMS NPPES registry since January 19, 2006.
## Identity
- **NPI:** 1801876586 (Entity type: Organization)
- **Enumerated:** January 19, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** Tiesenga Surgical Associates, S.c.
- **Organization subpart:** No
- **Authorized official:** Kathleen Burdett, ADMINISTRATIVE ASSISTANT
## Practice location
- **Address:** 1950 N HARLEM AVE, Elmwood Park, IL 60707
- **Phone:** (708) 453-6800 · **Fax:** (708) 453-3985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (5), Nurse Practitioner (3); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2022
- **Other identifiers:** Other 0160377350 (IL); Other 950730 (IL); Other CI4143 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801876586) · Data from the CMS NPPES public registry.