Organization Active NPI

Case Center for Surgery & Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Lima, OH
National Provider Identifier
1356901995
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CASE CENTER FOR SURGERY & ENDOSCOPY LLC
Practice address
512 N Cable Rd
Lima, OH 45805-2133
Phone
(419) 228-2600
Fax
(419) 228-1100
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Ven Kottapalli, M.D.NPI 1144288408
Title
Owner
Phone
(419) 228-2600

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

512 N Cable Rd
Lima, OH 45805-2133

Mailing address

512 N Cable Rd
Lima, OH 45805-2133
Phone (419) 228-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191231002123 OH Part B Supplier - Ambulatory Surgical Center 7113351016 Practice locations: Lima, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Case Center for Surgery Endoscopy LLCCCN 36C0001324
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
36D2175564Case Center for Surgery512 N Cable Road, Lima, OH 45805Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

Locations

770 W High St
Ste 290
Lima, OH 45801
Phone (800) 527-3872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1356901995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052133",
            "telephone_number": "419-228-2600",
            "fax_number": "419-228-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052133",
            "telephone_number": "419-228-2600",
            "fax_number": "419-228-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE CENTER FOR SURGERY & ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "KOTTAPALLI",
        "authorized_official_first_name": "VEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-228-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.