Granger Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GRANGER SURGERY CENTER LLC

Doing business as

Granger Surgery Center

Practice address

51050 Bittersweet Rd Ste a
Granger, IN 46530-7879

Phone

(718) 208-0446

Fax

(574) 244-0240

NPI assigned

May 22, 2022

Last updated

Feb 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Music, AUTHORIZED OFFICIAL

Title

Director of Provider Enrollment

Phone

(615) 465-7377

Specialties & licenses 1

Addresses

Other names 2

• Granger Surgery Center Doing business as
• Northern Indiana Surgery Center LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Granger Surgery Center LLCCCN 15C0002014

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• La Porte Hospital Company LLC

  dba Northwest Health-La Porte

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1750746285

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Roni Aizigov, CRNA, NP-C

  • Certified Registered Nurse Anesthetist
  • Granger, IN
  • NPI 1174876577
  NPD
• Tiffany Nicole Szymarek, MD

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1336362318
  NPD (past)

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1215675111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51050 BITTERSWEET RD STE A",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307879",
            "telephone_number": "574-228-5440",
            "fax_number": "574-290-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51050 BITTERSWEET RD STE A",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307879",
            "telephone_number": "718-208-0446",
            "fax_number": "574-244-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7377",
        "authorized_official_credential": "AUTHORIZED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granger Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Indiana Surgery Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Darren Robert Goodwin
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• Katherine Mavis Greene, SLP M.A. CCC
• Jamie Greenway

• Ambulatory Surgical Clinic/Center in Granger, IN
• Providers in Granger, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.