Indiana Ambulatory Surgical Associates, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

10561500 Issued in PA

Legal business name

INDIANA AMBULATORY SURGICAL ASSOCIATES, INC

Practice address

841 Hospital Rd Ste 1200
Indiana, PA 15701-3660

Phone

(724) 465-1922

Fax

(724) 465-2636

NPI assigned

Sep 9, 2005

Organization subpart

Yes

Parent organization

INDIANA REGIONAL MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeremy Burton Smith, MHA

Title

Executive Director

Phone

(724) 465-1922

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Indiana Ambulatory Surgical Associates LLCCCN 39C0001075

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Indiana Hosp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1356334510

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1031a3cd-9903-4995-baa5-734895a3e2a2/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1043204688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 1200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013660",
            "telephone_number": "724-465-1922",
            "fax_number": "724-465-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 1200",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013660",
            "telephone_number": "724-465-1922",
            "fax_number": "724-465-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA AMBULATORY SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA REGIONAL MEDICAL CENTER",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-465-1922",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "10561500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017211930002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Indiana Area School District
• Indiana Audiology Inc
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• Indiana Chiropractic, Inc.

• Ambulatory Surgical Clinic/Center in Indiana, PA
• Providers in Indiana, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.