PREMIER SUBURBAN MEDICAL GROUP, PLLC
NPI 1902412950
Clinic/Center - Multi-Specialty in Orland Park, IL
About Premier Suburban Medical Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER SUBURBAN MEDICAL GROUP, PLLC (NPI 1902412950) is a healthcare organization registered as a multi-specialty in Orland Park, Illinois and active in the NPI registry since September 2020. The organization maintains a secondary practice location in New Lenox and lists Amy Owens, Director, Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Suburban Medical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Premier Suburban Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Premier Suburban Medical Group, PLLC's NPI number?
The NPI number for Premier Suburban Medical Group, PLLC is 1902412950. It was assigned to this organization in the NPPES registry on September 16, 2020.
Where is Premier Suburban Medical Group, PLLC located?
Premier Suburban Medical Group, PLLC is located at 17047 La Grange Rd., Orland Park, IL 60487. The listed phone number is (815) 300-7664.
What is Premier Suburban Medical Group, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Premier Suburban Medical Group, PLLC enrolled in Medicare?
Yes. Premier Suburban Medical Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Suburban Medical Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 15 Medicare specialties reassign their Medicare billing to Premier Suburban Medical Group, PLLC. 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 Nurse Practitioner (15), Internal Medicine (7) and Family Practice (5). Of these, 7 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Premier Suburban Medical Group, PLLC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Premier Suburban Medical Group, Pllc · NPI 1902412950
Multi-Specialty organization in Orland Park, Illinois. Organization record, active in the CMS NPPES registry since September 16, 2020.
## Identity
- **NPI:** 1902412950 (Entity type: Organization)
- **Enumerated:** September 16, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Amy Owens, DIRECTOR, FINANCE
## Practice location
- **Address:** 17047 LA GRANGE RD., Orland Park, IL 60487-1913
- **Phone:** (815) 300-7664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Internal Medicine (7), Family Practice (5); 7 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1902412950/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902412950) · Data from the CMS NPPES public registry.