Indiana Endoscopy Centers LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INDIANA ENDOSCOPY CENTERS LLC

Practice address

1801 N Senate Blvd Ste 410
Indianapolis, IN 46202-1245

Phone

(317) 962-5660

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Boeglin

Title

President

Phone

(317) 817-1456

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Indiana Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Indiana Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Avon, IN
  • NPI 1811172729

  0042399750

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Indiana Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Fishers, IN
  • NPI 1861657256

  O20080507000080

  Same enrollment

Listed as

Indiana Endoscopy Centers LLCCCN 15C0001045

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

Indiana Endoscopy Center2 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.

• Indiana Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Avon, IN
  • NPI 1811172729
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Indiana University Health Care Associates, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832

  Member Of

  NPD member
• Indiana University Health, Inc

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, IN
  • NPI 1902061583

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1609051515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD STE 410",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021245",
            "telephone_number": "317-962-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD STE 410",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021245",
            "telephone_number": "317-962-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA ENDOSCOPY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOEGLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-817-1456",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200893990B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, 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 Jan 3, 2011; 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.