Primus Orthopedics SC
NPI 1700023793ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Tinley Park, IL
Orthopaedic Surgery, Sports Medicine in Tinley Park, Illinois, registered in NPPES in January 2009. The authorized official on file is Gregory Lamar Primus, M.D., Orthopedic Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1700023793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2009 |
| Last updated in NPPES | Aug 11, 2020 |
| Certified by provider | Aug 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | 036-118611 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN) |
|---|
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