OAK BROOK SURGICAL CENTRE INC. – Ambulatory Surgical Clinic/Center, NPI 1184680407

OAK BROOK SURGICAL CENTRE INC. is a healthcare provider. based in Oak brook, Illinois. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 7001548 (IL). The NPI Number for OAK BROOK SURGICAL CENTRE INC. is 1184680407

Main info

Organization
Name
OAK BROOK SURGICAL CENTRE INC.
NPI
1184680407
Phone
(630) 990-2212
Address
2425 W 22ND ST
Authorized Official
DR. KIANOOSH JAFARI MEDICAL DIRECTOR M.D.
Enumeration Date
25 April 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for OAK BROOK SURGICAL CENTRE INC.

  • 2425, West 22nd Street, Oak Brook, DuPage County, Illinois, 60523, United States

    SUITE 101

    OAK BROOK, IL 605231245

    Phone: (630) 990-2212

    Mailing address matches the actual address.

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: 2012-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1018 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
O20120720000350OAmbulatory 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
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint2012$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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Reviews

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Frequently asked questions

Does OAK BROOK SURGICAL CENTRE INC. have a public NPI I can cite?
Public records show OAK BROOK SURGICAL CENTRE INC. under NPI 1184680407.
Should I treat OAK BROOK SURGICAL CENTRE INC. as an active provider?
Patients and plans typically see OAK BROOK SURGICAL CENTRE INC. as active in the national extract.
What type of care does OAK BROOK SURGICAL CENTRE INC. provide?
OAK BROOK SURGICAL CENTRE INC.'s profile centers on Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to OAK BROOK SURGICAL CENTRE INC.?
OAK BROOK SURGICAL CENTRE INC. shows a connection to Oak Brook, Illinois in registry-derived data.
Why is information missing for OAK BROOK SURGICAL CENTRE INC.?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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