KING CITY SURGERY CENTER, S.C.
KING CITY SURGERY CENTER, S.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003005463, based in Mount Vernon, IL. The organization lists 2 taxonomy classifications, with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician recorded as primary.
Getting there
Here is what surrounds this office in Mount Vernon, based on OpenStreetMap data collected Aug 28, 2026. Parking is available about 0.51 mi away. A pharmacy sits 0.24 mi from the entrance (Walgreens), which helps if you leave with a prescription.
Getting here and what is nearby
Restaurant Ali's Asian Cuisine 47 ft ~1 min
Pharmacy CVS Pharmacy 230 ft ~1 min
Gas station Circle K 452 ft ~2 min
Convenience Circle K 533 ft ~3 min
Restaurant McDonald's 561 ft ~3 min
Parking 735 ft ~3 min
Pharmacy Walgreens 0.24 mi ~5 min
Convenience Huck's Food & Fuel 0.44 mi ~9 min
Parking 0.44 mi ~9 min
Gas station Huck's Food & Fuel 0.46 mi ~10 min
Parking 0.51 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036083649 | IL | Surgery Physician |
| 036083649 | IL | Thoracic Surgery (Cardiothoracic Vascular… primary |
This provider holds licence 036083649 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Thoracic Surgery (Cardiothoracic Vascular Surgery) covers
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. NUCC Health Care Provider Taxonomy, code 208G00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208600000X | Surgery Physician | 036083649 | IL | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 036083649 | IL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003005463 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 22, 2007 |
| Last updated | Oct 22, 2007 |
| Status | Active |
| Practice address |
2605 MAIN ST Mount Vernon, IL 62864 (618) 244-0050 Fax (618) 244-0061 |
| Other identifiers |
036083649
· Medicaid (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 0 | 5 | 4 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 0 | 1 | 4 | 3 |
Sum = 37 · next multiple of 10 = 40 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.