Surgery Center of Munster, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF MUNSTER, LLC

Practice address

9200 Calumet Ave
Suite S200
Munster, IN 46321-2885

Phone

(513) 561-8900

Fax

(513) 561-8901

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Lisa Davis

Title

Administrator

Phone

(219) 961-9621

Specialties & licenses 1

Addresses

Other names 1

• The Center for Minimally Invasive Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

The Center for Minimally Invasive SurgeryCCN 15C0001194

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

Tax ID family

Center for Minimally Invasive Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surgery Center of Munster, LLC

  • Surgery Physician
  • Munster, IN
  • NPI 1023978954
  NPD tax ID

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1356773584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE",
            "address_2": "SUITE S200",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "513-561-8900",
            "fax_number": "513-561-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE",
            "address_2": "SUITE S200",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "513-561-8900",
            "fax_number": "513-561-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF MUNSTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-961-9621"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Minimally Invasive Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center for Minimally Invasive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Lugtu Sun, MSN,BSN,CPE,FNP-BC
• Suniti Medical Corporation
• Superior Anesthesia LLC
• Pranali Suresh, AUD
• Surgery Center of Munster, LLC
• Marvin Swain, FNP-C
• Gabriela Swiis, FNP-C
• Samantha Lee Swingewood
• Erin M Swinson, LMHC
• Alexander Szewciw

• Ambulatory Surgical Clinic/Center in Munster, IN
• Providers in Munster, 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 May 21, 2020; 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.