PREMIER CARDIAC SURGERY CENTER PLLC NPI 1922664622

NPI Details

PREMIER CARDIAC SURGERY CENTER, PLLC is an ambulatory surgical clinic center in Merrionette Park, IL. PREMIER CARDIAC SURGERY CENTER, PLLC NPI is 1922664622. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Premier Cardiac Surgery Center, Llc.

The provider's business location address is:

11560 S. KEDZIE AVENUE
SUITE 102
MERRIONETTE PARK, IL
ZIP 60803
Phone: (708) 972-7520
Fax: (708) 972-7521

The provider's authorized official is Ronald E Stella .
The authorized official title is Board Chair and has the following contact phone number (708) 478-3600.

The CLIA number assigned to this NPI record is 14D2163587 - 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.

• Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
• Insertion of heart rhythm monitor under skin (HCPCS:33285)
• Insertion of implantable defibrillator system (HCPCS:33249)
• Removal of heart rhythm monitor from under the skin (HCPCS:33286)
• Insertion of pacemaker and lower heart chamber electrode (HCPCS:33207)
• Removal and replacement of dual lead permanent pacemaker (HCPCS:33228)
• Removal and replacement of multiple lead defibrillator (HCPCS:33264)
• Removal and replacement of multiple lead permanent pacemaker (HCPCS:33229)
• Removal and replacement of dual lead defibrillator (HCPCS:33263)

The enumeration date for this NPI number is 5/17/2019 and was last updated on 1/21/2022.

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: