Organization Active NPI

Eye Surgical Services LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1487221404
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EYE SURGICAL SERVICES LLC
Doing business as
Gateway Surgery Center
Practice address
10296 Big Bend Rd Ste 100
Saint Louis, MO 63122-6425
Phone
(314) 735-0200
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Navin Tekwani, MDNPI 1538143805
Title
Medical Director
Phone
(314) 735-0200

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

10296 Big Bend Rd Ste 100
Saint Louis, MO 63122-6425

Mailing address

10296 Big Bend Rd Ste 100
Saint Louis, MO 63122-6425
Phone (314) 735-0200

Other names 1

  • Gateway Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210723000647 MO Part B Supplier - Ambulatory Surgical Center 2961805213 Practice locations: Saint Louis, MO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Eye Surgical Services LLC Dba Gateway Surgery CenterCCN 26C0001176
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
26D2228561Eye Surgical Services Dba Gateway Surgery Center10296 Big Bend Rd Suite 100, St. Louis, MO 63122Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Eye Surgical Services LLC2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1487221404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226425",
            "telephone_number": "314-735-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226425",
            "telephone_number": "314-735-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "TEKWANI",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "314-735-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.