Siu Physicians & Surgeons, Inc
Siu Physicians & Surgeons, Inc is a healthcare organization registered as Neurological Surgery Physician in Springfield, IL, holding Type 2 (organization) NPI 1790705507 since 2006. The authorized official on file is Jerry Kruse, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790705507 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Siu Physicians & Surgeons, Inc |
| Practice address | 720 N BOND ST, Springfield, IL, 62702 |
| Phone | 2175458000 |
| Enumeration date | 2006-07-21 |
| Last updated in NPPES | 2022-07-21 |
Authorized official
| Name | Jerry Kruse |
|---|---|
| Title | Ceo |
| Phone | 2175457876 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | Secondary | — | IL |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | Secondary | — | IL |
| 207Y00000X | Otolaryngology Physician | Secondary | — | IL |
| 208600000X | Surgery Physician | Secondary | — | IL |
| 2086S0120X | Pediatric Surgery Physician | Secondary | — | IL |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | Secondary | — | IL |
| 208800000X | Urology Physician | Secondary | — | IL |
| 2088P0231X | Pediatric Urology Physician | Secondary | — | IL |
| 208C00000X | Colon & Rectal Surgery Physician | Secondary | — | IL |
| 207T00000X | Neurological Surgery Physician | Primary | — | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE8689 | Other | IL | RR MEDICARE |
| CE8688 | Other | IL | RR MEDICARE |
| CE8686 | Other | IL | RR MEDICARE |
| CE8687 | Other | IL | RR MEDICARE |
| CB2589 | Other | IL | RR MEDICARE |
| CE8931 | Other | IL | RR MEDICARE |
Copy-ready billing details
Provider: Siu Physicians & Surgeons, Inc NPI: 1790705507 Taxonomy: 207T00000X (Neurological Surgery Physician) Address: 720 N BOND ST, Springfield, IL, 62702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528049368 | Suzanne Pokrzywinski | Individual | Audiologist | Springfield, IL |
| 1629059472 | Kendra Watts | Individual | Audiologist | Springfield, IL |
| 1437165164 | Brendan Stack | Individual | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | Springfield, IL |
| 1982828125 | Myra Tosh | Individual | Speech-Language Pathologist | Springfield, IL |
| 1144483900 | Dana Crosby | Individual | Otolaryngology Physician | Springfield, IL |
| 1336304856 | Arun Sharma | Individual | Otolaryngology Physician | Springfield, IL |
| 1881824647 | Matthew Johnson | Individual | Otolaryngology Physician | Springfield, IL |
| 1336436435 | Stacie Gregory | Individual | Otolaryngology Physician | Springfield, IL |
Verify this record
Cross-check NPI 1790705507 against the authoritative CMS record: view Siu Physicians & Surgeons, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Siu Physicians & Surgeons, Inc?
What is the NPI number for Siu Physicians & Surgeons, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.