INGALLS SAME DAY SURGERY CENTER LTD – Surgery Physician, NPI 1851318521
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INGALLS SAME DAY SURGERY CENTER LTD
PO BOX 340
MATTESON, IL 604430340
Phone: (708) 747-5850
Fax: (708) 747-9991
Type: Mailing
PO BOX 735078
CHICAGO, IL 606735078
Phone: (708) 747-5850
Fax: (708) 747-9991
Type: Mailing
UChicago Medicine at Ingalls - Tinley Park, 6701, West 159th Street, Tinley Park, Bremen Township, Cook County, Illinois, 60477, United States
LOWER LEVEL
TINLEY PARK, IL 604771758
Phone: (708) 429-0222
Fax: (708) 429-0293
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.
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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: 2007-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (768 days ago).
Enrollment records
1
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20071026000653 | O | Ambulatory Surgical Center | IL | 2024-04-30 |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 520 | 82 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 196 | 120 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 195 | 106 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 99 | 98 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 89 | 77 | $0 |
Insurance plans in this area (ZIP 60443)
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