Beltway Surgery Centers, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

080022771 Issued in IN

Legal business name

BELTWAY SURGERY CENTERS, LLC

Doing business as

Beltway Surgery Center Springmill

Practice address

10300 N Illinois St
Carmel, IN 46290-1166

Phone

(317) 278-5050

NPI assigned

Jan 21, 2008

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jon Schaefer

Title

Administrator

Phone

(317) 817-1450

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BELTWAY SURGERY CENTER SPRINGMILL Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Beltway Surgery Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Carmel, IN
  • NPI 1336180173

  9537052055

  Same PAC ID
• Beltway Surgery Centers, LLC

  dba Meridian South Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1306351887

  9537052055

  Same PAC ID

Listed as

Beltway Surgery Centers LLCCCN 15C0001122

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": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1609052679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901166",
            "telephone_number": "317-278-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901166",
            "telephone_number": "317-278-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTWAY SURGERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-817-1450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "080022771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZJ9010",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200891870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELTWAY SURGERY CENTER SPRINGMILL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BELTWAY SURGERY CENTER SPRINGMILL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Nicole Bellamy, RPH
• Jonathan Tanner Bellomy
• Amairani Beltran, RBT
• Leah Diana Beltran
• Beltway Surgery Centers LLC
• Beltway Surgery Centers, LLC (Multispecialty Surgery Center)
• Kyler Elizabeth Benbow, PA
• Benchmark Physical Therapy Indiana LLC
• Amy Ruth Bender, PA-C
• Julie A Bender, P.T.

• 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 Jan 21, 2021; 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.