Active NPI
Surgery Center of Indianapolis LLC
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
National Provider Identifier
1407833858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGERY CENTER OF INDIANAPOLIS LLC
- Practice address
- 2007 N Capitol Ave
Indianapolis, IN 46202-1221 - Phone
- (317) 925-2283
- Fax
- (317) 925-2284
- NPI assigned
- Dec 28, 2005
- 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
- Maureen Ann Chernoff, RN
- Title
- Facility Director
- Phone
- (317) 925-2283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | IN | Primary |
Addresses
Primary practice location
2007 N Capitol Ave
Indianapolis, IN 46202-1221
Mailing address
2007 N Capitol Ave
Indianapolis, IN 46202-1221
Phone (317) 925-2283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000736 | IN | Part B Supplier - Ambulatory Surgical Center | 9537182811 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carmel, IN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba The Surgery Center of Carmel
- Ambulatory Surgical Clinic/Center
- Carmel, IN
- NPI 1588607154
O20060112000736
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Ascension St. Vincent Stress Center
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1003866740
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407833858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 N CAPITOL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021221",
"telephone_number": "317-925-2283",
"fax_number": "317-925-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 N CAPITOL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021221",
"telephone_number": "317-925-2283",
"fax_number": "317-925-2284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OF INDIANAPOLIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHERNOFF",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "FACILITY DIRECTOR",
"authorized_official_telephone_number": "317-925-2283",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Erin Lynn Surdey, PT, DPT, OCS
- Surefire Enterprises LLC
- Whitney Surface, OTR
- Surgery Center of Eye Specialists of Indiana, PC
- Surgery Center of Eye Specialists of Indiana, PC
- Surgery Center Plus Inc
- Surgery Center Plus, Inc (Hernia Center Plus)
- Surgical Care Center, Inc.
- Briana Surrett
- Charles Maurice Surrett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.