Fullerton Kimball Medical & Surgical Center
NPI 1205964103 · Ambulatory Surgical Clinic/Center · Chicago, IL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fullerton Kimball Medical & Surgical Center is a Ambulatory Surgical Clinic/Center organization in Chicago, IL (NPI 1205964103).
Provider details
- NPI number
- 1205964103
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renlin Xia, President(773) 235-8000
- License
- 7003181 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
201 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 87 | $368 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 52 | $4,971 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 46 | $282 |
| Insertion Or Replacement of Spinal Neurostimulator Generator Or Receiver63685 | 16 | $23,820 |
Typical Medicare-allowed amounts for these services range $282–$23,820 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2014-04-09
Frequently asked questions
- What is Fullerton Kimball Medical & Surgical Center's NPI number?
- Fullerton Kimball Medical & Surgical Center's National Provider Identifier (NPI) is 1205964103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fullerton Kimball Medical & Surgical Center?
- Fullerton Kimball Medical & Surgical Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fullerton Kimball Medical & Surgical Center located?
- Fullerton Kimball Medical & Surgical Center's practice location on file with NPPES is 3412 W Fullerton Ave, Chicago, IL 60647-2416.
- What is Fullerton Kimball Medical & Surgical Center's phone number?
- The practice phone number listed in the NPPES registry for Fullerton Kimball Medical & Surgical Center is (773) 235-8000.
- Does Fullerton Kimball Medical & Surgical Center accept Medicare?
- Fullerton Kimball Medical & Surgical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fullerton Kimball Medical & Surgical Center?
- The authorized official listed on Fullerton Kimball Medical & Surgical Center's NPPES record is Renlin Xia, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fullerton Kimball Medical & Surgical Center's NPI active?
- Yes — Fullerton Kimball Medical & Surgical Center's NPI (1205964103) is active in the NPPES registry as of the last update on 2014-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.