Active NPI
Roc Surgery LLC
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ROC SURGERY LLC
- Doing business as
- Riley Outpatient Surgery Center
- Practice address
- 705 Riley Hospital Dr
Indianapolis, IN 46202-5109 - Phone
- (317) 948-1511
- NPI assigned
- Apr 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Kousagan
- Title
- Executive Director
- Phone
- (504) 220-8912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Mailing address
950 N Meridian St Ste 910
Indianapolis, IN 46204-1077
Phone (178) 052-2473
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201008760A | Medicaid | IN | |
| M300040674 | Other | IN | MEDICARE PTAN |
Other names 1
- Riley Outpatient Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110110000924 | IN | Part B Supplier - Ambulatory Surgical Center | 3173712999 | Practice locations: Indianapolis, IN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Roc Surgery LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2012158 | Roc Surgery LLC | Certificate of waiver | Aug 29, 2026 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1902061583
Member Of
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1457396541
Member Of
Locations
7354 Reliable Pkwy
Chicago, IL 60686
705 Riley Hospital Dr
Ste 201
Indianapolis, IN 46202
Phone (317) 948-1511
702 Barnhill Dr
#201
Indianapolis, IN 46202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1861422230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1306163431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N MERIDIAN ST STE 910",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462041077",
"telephone_number": "178-052-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025109",
"telephone_number": "317-948-1511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROC SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "KOUSAGAN",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "504-220-8912"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201008760A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M300040674",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riley Outpatient Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.