Ireland Grove Center for Surgery LLC.
NPI 1750567442 · Ambulatory Surgical Clinic/Center · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ireland Grove Center for Surgery LLC. is a Ambulatory Surgical Clinic/Center organization in Bloomington, IL (NPI 1750567442).
Provider details
- NPI number
- 1750567442
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Kolb, President(309) 664-0101
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
18 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
608 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 | 178 | $366 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 136 | $345 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 83 | $702 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 47 | $340 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 42 | $324 |
| Destruction of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Ireland Grove Center for Surgery LLC.'s NPI number?
- Ireland Grove Center for Surgery LLC.'s National Provider Identifier (NPI) is 1750567442, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ireland Grove Center for Surgery LLC.?
- Ireland Grove Center for Surgery LLC. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ireland Grove Center for Surgery LLC. located?
- Ireland Grove Center for Surgery LLC.'s practice location on file with NPPES is 3801 Ireland Grove Road, Bloomington, IL 61704.
- What is Ireland Grove Center for Surgery LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Ireland Grove Center for Surgery LLC. is (309) 664-0101.
- Does Ireland Grove Center for Surgery LLC. accept Medicare?
- Ireland Grove Center for Surgery LLC. 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 Ireland Grove Center for Surgery LLC.?
- The authorized official listed on Ireland Grove Center for Surgery LLC.'s NPPES record is Edward Kolb, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ireland Grove Center for Surgery LLC.'s NPI active?
- Yes — Ireland Grove Center for Surgery LLC.'s NPI (1750567442) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.