Active NPI
Surgicare LLC
- Ambulatory Surgical Clinic/Center
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGICARE LLC
- Practice address
- 2907 McIntyre Dr
Bloomington, IN 47403-4209 - Phone
- (812) 339-8000
- Fax
- (812) 339-2524
- NPI assigned
- Jan 24, 2006
- 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
- Todd A Eads, MD
- Title
- Managing Member
- Phone
- (812) 339-8000
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2907 McIntyre Dr
Bloomington, IN 47403-4209
Mailing address
2907 McIntyre Dr
Bloomington, IN 47403-4209
Phone (812) 339-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000098138 | Other | IN | ANTHEM BLUE SHIELD |
| ZB0750 | Other | IN | TRAVELERS MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080523000295 | IN | Part B Supplier - Ambulatory Surgical Center | 3375612849 | Practice locations: Bloomington, IN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgicare LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2907 S McIntire Dr
Ste C
Bloomington, IN 47403
Phone (812) 339-8000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Bloomington, IN
- NPI 1902063225
-
- Neurological Surgery Physician
- Fort Wayne, IN
- NPI 1700043023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1346210259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 MCINTYRE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034209",
"telephone_number": "812-339-8000",
"fax_number": "812-339-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 MCINTYRE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034209",
"telephone_number": "812-339-8000",
"fax_number": "812-339-2524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-24",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "EADS",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "812-339-8000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "000000098138",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "ZB0750",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.