1800 MCDONOUGH ROAD SURGERY CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1053597161

1800 MCDONOUGH ROAD SURGERY CENTER LLC is a healthcare provider. based in Oak brook, Illinois. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 7003116 (IL). The NPI Number for 1800 MCDONOUGH ROAD SURGERY CENTER LLC is 1053597161

Main info

Organization
Name
1800 MCDONOUGH ROAD SURGERY CENTER LLC
NPI
1053597161
Phone
(630) 990-7770
Address
2607 W 22ND ST
Authorized Official
KIANOOSH JAFARI OWNER M.D.
Enumeration Date
18 January 2008
Last Update Date
18 January 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for 1800 MCDONOUGH ROAD SURGERY CENTER LLC

  • West 22nd Street, Oak Brook, DuPage County, Illinois, 60521, United States

    SUITE 48

    OAK BROOK, IL 605231231

    Phone: (630) 990-7770

    Type: Mailing

  • 1800, McDonough Rd, Hoffman Estates, Hanover Township, Cook County, Illinois, 60192, United States

    SUITE 100

    HOFFMAN ESTATES, IL 601924566

    Phone: (847) 742-7272

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1013 days ago).

Enrollment records

1

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090929000297OAmbulatory Surgical CenterIL2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography2617$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level2415$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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Reviews

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Frequently asked questions

What is the standard ID for 1800 MCDONOUGH ROAD SURGERY CENTER LLC in the U.S.?
In the U.S., 1800 MCDONOUGH ROAD SURGERY CENTER LLC is identified by NPI 1053597161.
Quick check: is 1800 MCDONOUGH ROAD SURGERY CENTER LLC active?
Public NPPES data shows 1800 MCDONOUGH ROAD SURGERY CENTER LLC with an active NPI status right now.
Which specialty label fits 1800 MCDONOUGH ROAD SURGERY CENTER LLC?
NPPES ties 1800 MCDONOUGH ROAD SURGERY CENTER LLC to Ambulatory Surgical Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to 1800 MCDONOUGH ROAD SURGERY CENTER LLC?
The directory associates 1800 MCDONOUGH ROAD SURGERY CENTER LLC with Oak Brook, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for 1800 MCDONOUGH ROAD SURGERY CENTER LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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