Tiesenga Surgical Associates, S.c.
NPI 1801876586 · Surgery Physician · Elmwood Park, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiesenga Surgical Associates, S.c. is a Surgery Physician organization in Elmwood Park, IL (NPI 1801876586).
Provider details
- NPI number
- 1801876586
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Burdett, Administrative Assistant(708) 453-6800
- License
- 042000966 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Suburban Surgery Center
- Doing business as
- Suburban Surgery Center
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Frequently asked questions
- What is Tiesenga Surgical Associates, S.c.'s NPI number?
- Tiesenga Surgical Associates, S.c.'s National Provider Identifier (NPI) is 1801876586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tiesenga Surgical Associates, S.c.?
- Tiesenga Surgical Associates, S.c. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tiesenga Surgical Associates, S.c. located?
- Tiesenga Surgical Associates, S.c.'s practice location on file with NPPES is 1950 N Harlem Ave, Elmwood Park, IL 60707.
- What is Tiesenga Surgical Associates, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Tiesenga Surgical Associates, S.c. is (708) 453-6800.
- Does Tiesenga Surgical Associates, S.c. accept Medicare?
- Tiesenga Surgical Associates, S.c. 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 Tiesenga Surgical Associates, S.c.?
- The authorized official listed on Tiesenga Surgical Associates, S.c.'s NPPES record is Kathleen Burdett, Administrative Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tiesenga Surgical Associates, S.c.'s NPI active?
- Yes — Tiesenga Surgical Associates, S.c.'s NPI (1801876586) is active in the NPPES registry as of the last update on 2022-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.