ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD
NPI 1962450734
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bloomington, IL
NPI Status: Active since May 04, 2006
Contact Information
1505 EASTLAND DR
SUITE 210
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 662-5506
Fax: (309) 662-5443
- Organization
- Thoracic Surgery (Cardiothoracic Vascula...
- CLIA Number: 14D2209090
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 01-10-2027
About ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD
This page provides the complete NPI Profile along with additional information for Illinois Cardiovascular & Thoracic Surgery, Ltd, a provider established in Bloomington, Illinois operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1962450734 assigned on May 2006. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Illinois Cardiovascular & Thoracic Surgery, Ltd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Glen B Smith M.d. (Chiref Operations Officer)
- NPI
- 1962450734
- Provider Name
- ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD
- Entity Type
- Organization
- Location Address
- 1505 EASTLAND DR SUITE 210 BLOOMINGTON, IL 61701
- Location Phone
- (309) 662-5506
- Location Fax
- (309) 662-5443
- Mailing Address
- 1505 EASTLAND DR SUITE 210 BLOOMINGTON, IL 61701
- Mailing Phone
- (309) 662-5506
- Mailing Fax
- (309) 662-5443
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2006
- Last Update Date
- 04-24-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207UN0901X | Allopathic & Osteopathic Physicians | Nuclear Medicine | |
| 4 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK7113 | MEDICARE ID-TYPE UNSPECIFIED (04) | RAILROAD MEDICARE GROUP | |
| 204814 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | MEDICARE GROUP NUMBER |
| 204815 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | MEDICARE GROUP NUMBER |
| 05732036 | OTHER (01) | IL | BLUE SHIELD GROUP NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2209090
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- January 11, 2025
- Certificate Expiration Date
- January 10, 2027
- Laboratory Director
- JENNIFER J. TOOHILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Illinois Cardiovascular & Thoracic Surgery, Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ILLINOIS CARDIOVASCULAR & THORACIC SURGERY, LTD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962450734, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962450734, enumerated as an "organization" on May 04, 2006.
The provider is located at 1505 EASTLAND DR SUITE 210 BLOOMINGTON, IL 61701 and the phone number is (309) 662-5506.
Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.
