1. Home
  2. Directory
  3. Illinois
  4. Oswego
  5. Clinic Center
  6. NPI Profile

KENDALL POINTE SURGERY CENTER LLC
NPI 1851317614
Clinic/Center - Ambulatory Surgical in Oswego, IL

Active since July 14, 2006CLIA 14D0991118 · Waiver
100 W FIFTH STREET, OSWEGO, IL 60543(630) 449-0085(630) 449-0090 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2023, Sep 14, 2021 (2 updates tracked since 2021).

About Kendall Pointe Surgery Center Llc NPPES

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

KENDALL POINTE SURGERY CENTER LLC (NPI 1851317614) is a healthcare organization registered as an ambulatory surgical in Oswego, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Scott Sporer, Board Chair, as its authorized official.

NPPES Registry Identity

NPI1851317614
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKENDALL POINTE SURGERY CENTER LLC
Location Address100 W FIFTH STREETOswego, IL 60543
Mailing Address100 W Fifth StreetOswego, IL 60543 · (630) 449-0085 · Fax (630) 449-0090
Phone(630) 449-0085
Fax(630) 449-0090
Organization SubpartNo
Authorized OfficialScott SporerBoard Chair · (630) 449-0085
Enumeration DateJuly 14, 2006
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1851317614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IL · 7002538
100 W FIFTH STREET, Oswego, IL 60543
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 14D0991118

Kendall Pointe Surgery Center LLC · Oswego, IL
Active · expires Sep 11, 2027
CLIA Number14D0991118
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorMichael Coulson D O
Laboratory Phone(630) 449-0085
Laboratory LocationKendall Pointe Surgery Center LLC100 West 5th Street, Oswego, IL 60543
CLIA data matches this NPI record on: 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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
101 services95 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
57 services57 patients

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 Kendall Pointe Surgery Center LLC's NPI number?

The NPI number for Kendall Pointe Surgery Center LLC is 1851317614. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Kendall Pointe Surgery Center LLC located?

Kendall Pointe Surgery Center LLC is located at 100 W Fifth Street, Oswego, IL 60543. The listed phone number is (630) 449-0085.

What is Kendall Pointe Surgery Center LLC's specialty?

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

Does Kendall Pointe Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0991118) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kendall Pointe Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kendall Pointe Surgery 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 Kendall Pointe Surgery Center LLC was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.