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SURGERY CENTER AT 900 N MICHIGAN AVE LLC
NPI 1932136389
Clinic/Center - Ambulatory Surgical in Chicago, IL

Active since June 28, 2006CLIA 14D0973699 · Waiver
60 E DELAWARE PL, 15TH FLOOR, CHICAGO, IL 60611(312) 440-5150(877) 235-5009 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2024, Jul 21, 2022 (2 updates tracked since 2022).

About Surgery Center At 900 N Michigan Ave Llc NPPES

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

SURGERY CENTER AT 900 N MICHIGAN AVE LLC (NPI 1932136389) is a healthcare organization registered as an ambulatory surgical in Chicago, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Kenny Bozorgi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932136389
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER AT 900 N MICHIGAN AVE LLC
Location Address60 E DELAWARE PL, 15TH FLOORChicago, IL 60611-1898
Mailing AddressPo Box 88185Carol Stream, IL 60188-8185 · (312) 440-5150 · Fax (312) 858-6104
Phone(312) 440-5150
Fax(877) 235-5009
Organization SubpartNo
Authorized OfficialKenny BozorgiCeo · (312) 440-5150
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1932136389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
60 E DELAWARE PL, Chicago, IL 60611
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgery Center At 900 N Michigan Ave Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20040827001135Non-DME Part B · Ambulatory Surgical CenterDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 14D0973699

Surgery Ctr At 900 N Michigan Ave,the · Chicago, IL
Active · expires May 11, 2028
CLIA Number14D0973699
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorJay F. Kiokemeister Do
Laboratory Phone(312) 440-5150
Laboratory LocationSurgery Ctr At 900 N Michigan Ave,the60 East Delaware Ave-15th Floor, Chicago, IL 60611
CLIA data matches this NPI record on: 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.
222 services138 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
40 services19 patients

Other Providers at the Same Location NPPES 18

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

CHICAGO FOOT & ANKLE DEFORMITY CORRECTION CENTER, LLC
Podiatrist (Foot & Ankle Surgery)
60 E DELAWARE PL, SUITE 1480
CHICAGO, IL 60611
Cook County (312) 355-3939
KOANY C MO D.O.
Anesthesiology
60 E DELAWARE PL, 15TH FL
CHICAGO, IL 60611
Cook County (312) 440-5150
DR. HELENE PARDO-ISAAC M.D.
Anesthesiology
60 E DELAWARE PL, 15TH FL
CHICAGO, IL 60611
Cook County (312) 440-5150
DR. PAMELA L HANFORD M.D.
Anesthesiology
60 E DELAWARE PL, 15TH FL
CHICAGO, IL 60611
Cook County (312) 440-5150
DR. MANDAN FARAHATI M.D.
Obstetrics & Gynecology
60 E DELAWARE PL, STE 1500
CHICAGO, IL 60611
Cook County (312) 944-5727
PLASTIC SURGERY CHICAGO, LLC
Specialist
60 E DELAWARE PL, #1430
CHICAGO, IL 60611
Cook County (312) 337-7795
LAKE SHORE PLASTIC SURGERY
Specialist
60 E DELAWARE PL, 15TH FL
CHICAGO, IL 60611
Cook County (312) 202-9000
DR. MICHAEL ALAN HORN M.D.
Surgery (Plastic and Reconstructive Surgery)
60 E DELAWARE PL, 15TH FLOOR
CHICAGO, IL 60611
Cook County (312) 202-9000

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 Surgery Center At 900 N Michigan Ave LLC's NPI number?

The NPI number for Surgery Center At 900 N Michigan Ave LLC is 1932136389. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Surgery Center At 900 N Michigan Ave LLC located?

Surgery Center At 900 N Michigan Ave LLC is located at 60 E Delaware Pl 15th Floor, Chicago, IL 60611. The listed phone number is (312) 440-5150.

What is Surgery Center At 900 N Michigan Ave LLC's specialty?

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

Is Surgery Center At 900 N Michigan Ave LLC enrolled in Medicare?

Yes. Surgery Center At 900 N Michigan Ave LLC is registered in the Medicare PECOS enrollment system.

When is Surgery Center At 900 N Michigan Ave LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Ambulatory Surgical Center) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Surgery Center At 900 N Michigan Ave LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0973699) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgery Center At 900 N Michigan Ave LLC was last updated on August 23, 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.