Organization Active NPI

Beltway Surgery Centers, LLC

Doing business as Meridian South Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1306351887
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
17-013119-1 Issued in IN
Legal business name
BELTWAY SURGERY CENTERS, LLC
Doing business as
Meridian South Surgery Center
Practice address
8830 S Meridian St Ste 250
Indianapolis, IN 46217-5029
Phone
(317) 865-6690
NPI assigned
Dec 6, 2017
Last updated
Dec 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Jon Schaefer
Title
Administrator
Phone
(317) 814-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 17-013119-1 IN Primary

Addresses

Primary practice location

8830 S Meridian St Ste 250
Indianapolis, IN 46217-5029

Mailing address

151 Pennsylvania Pkwy
Indianapolis, IN 46280-1379
Phone (317) 817-1100

Other names 1

  • Meridian South Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260529002594 IN Part B Supplier - Ambulatory Surgical Center 9537052055 Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Beltway Surgery Centers LLC Dba Meridian South Surgery CenterCCN 15C0001192
Medicare certification status
ActiveFrom the Provider of Services file

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
15D2057535Beltway Surgery Centers, LLC/Dba Meridian South8830 S Meridian Street Ste 250, Indianapolis, IN 46217Certificate of waiverApr 17, 2027

National Provider Directory

National Provider Directory

Locations

13100 E 136th St
Ste 1100
Fishers, IN 46037
Phone (317) 678-3400

8330 S Meridian St Ste 250
Meridian S CNTR
Indianapolis, IN 46217
Phone (317) 865-6690

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1306351887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PENNSYLVANIA PKWY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801379",
            "telephone_number": "317-817-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 S MERIDIAN ST STE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462175029",
            "telephone_number": "317-865-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTWAY SURGERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-814-1450"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "17-013119-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian South 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 Dec 6, 2017; 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.