Surgery Center of Indianapolis LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF INDIANAPOLIS LLC

Doing business as

The Surgery Center of Carmel

Practice address

12188 N Meridian St
150
Carmel, IN 46032-4578

Phone

(317) 569-8250

Fax

(317) 569-8363

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey L Stockard

Title

Cco

Phone

(615) 377-5353

Specialties & licenses 1

Addresses

Other names 1

• The Surgery Center of Carmel Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Surgery Center of Indianapolis LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1407833858

  O20060112000736

  Same enrollment

Listed as

The Surgery Center Indianapolis LLCCCN 15C0001146

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

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588607154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188 N MERIDIAN ST",
            "address_2": "150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-569-8250",
            "fax_number": "317-569-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188 N MERIDIAN ST",
            "address_2": "150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324578",
            "telephone_number": "317-569-8250",
            "fax_number": "317-569-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF INDIANAPOLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCKARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "615-377-5353"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center of Carmel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makenna M Sunbury, PT, DPT
• Rodjawan Supakul, M.D.
• Supporting Angels LLC (24/7 Home Care Solutions)
• Alexandra Quast Surgener, PSYD
• Surgery Center Anesthesiologists, LLC
• Surgery Centers of NW Indiana LLC
• Kunal Suri, MD
• Taylor Twiggs Sutter, MD
• Alexandra L Swackhamer, LMHC
• Amanda Swain

• Ambulatory Surgical Clinic/Center in Carmel, IN
• Providers in Carmel, 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 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.
• 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.