RIVERSIDE AMBULATORY SURGERY CENTER LLC NPI 1851407373

NPI Details

RIVERSIDE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bourbonnais, IL. RIVERSIDE AMBULATORY SURGERY CENTER, LLC NPI is 1851407373. The provider is registered as an organization entity type.

The provider's business location address is:

300 RIVERSIDE DR STE 1100
BOURBONNAIS, IL
ZIP 60914-997
Phone: (815) 802-3170

The provider's authorized official is Teresa Bockover .
The authorized official title is Clinical Director and has the following contact phone number (815) 802-3170.

The CLIA number assigned to this NPI record is 14D1041895 - ambulatory surgery center 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.

• Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
• Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
• Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
• Creation of flap graft to head and/or neck (HCPCS:15733)
• Release of tendon of palm or finger (HCPCS:26440)
• Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11442)
• Incision to improve eye fluid flow (HCPCS:65820)
• Dilation to improve eye fluid flow (HCPCS:66174)
• Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
• Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11441)
• Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:11643)
• Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:11443)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11403)
• Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:11423)
• Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
• Creation of muscle graft to arm (HCPCS:15736)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 8/22/2020.

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: