Advanced Surgical Technology, LLC
NPI 1497159024ActiveOrganization· Surgery· Centralia, IL
Surgery in Centralia, Illinois, registered in NPPES in October 2014. The authorized official on file is Jennia Rensing, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497159024 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2014 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 036115674 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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