CHAMPAIGN SURGICENTER LLC NPI 1356400782

NPI Information

  • NPI: 1356400782
  • Provider Name: CHAMPAIGN SURGICENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 14D2070512
  • Address: 3103 FIELDS SOUTH DR
    CHAMPAIGN, IL
    ZIP 61822
  • Phone: (217) 902-2300

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NPI Details

CHAMPAIGN SURGICENTER, LLC is an ambulatory surgical clinic center in Champaign, IL. CHAMPAIGN SURGICENTER, LLC NPI is 1356400782. The provider is registered as an organization entity type.

The provider's business location address is:

3103 FIELDS SOUTH DR
CHAMPAIGN, IL
ZIP 61822-743
Phone: (217) 902-2300
Fax: (217) 902-7735

The provider's authorized official is James Leonard .
The authorized official title is Ceo and has the following contact phone number (217) 383-3220.

The CLIA number assigned to this NPI record is 14D2070512 - assisted living facility with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Correction of toe joint deformity (HCPCS:28285)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of deep implant from bone (HCPCS:20680)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)

The enumeration date for this NPI number is 12/8/2006 and was last updated on 2/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical007002959ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1025710OTHERHEALTH ALLIANCE PROV ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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