NPIMap

Organization Active NPI

Outpatient Procedure Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Wilmington, DE
National Provider Identifier
1063854628
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OUTPATIENT PROCEDURE CENTERS, LLC
Practice address
390 Mitch Rd
Wilmington, DE 19804-3943
Phone
(302) 992-9191
Fax
(302) 741-0112
NPI assigned
Jul 24, 2013
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dr. Ganesh R Balu, M.D.NPI 1073594693
Title
Ceo
Phone
(302) 741-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

390 Mitch Rd
Wilmington, DE 19804-3943

Mailing address

390 Mitch Rd
Wilmington, DE 19804-3943
Phone (302) 741-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502001073 DE Part B Supplier - Ambulatory Surgical Center 5698291664 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063854628. Details of each certification follow.

Ambulatory surgical center certification: CCN 08C0001033

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Outpatient Procedure Centers, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 22, 2025
Last certification
Jul 14, 2025
Facility address
390 Mitch Rd
Wilmington, DE 19804

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2327717Outpatient Procedure Centers LLC390 Mitch Road, Wilmington, DE 19804Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1063854628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MITCH RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043943",
            "telephone_number": "302-741-0111",
            "fax_number": "302-741-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MITCH RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043943",
            "telephone_number": "302-992-9191",
            "fax_number": "302-741-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PROCEDURE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "BALU",
        "authorized_official_first_name": "GANESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-741-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.