Novamed Surgery Center of Merrillville, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

05-005727-1 Issued in IN

Legal business name

NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC

Practice address

9797 Massachusetts St
Crown Point, IN 46307-0278

Phone

(219) 756-5010

Fax

(219) 756-5106

NPI assigned

Jul 8, 2005

Last updated

Mar 6, 2025By 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

Ms. Sue Glass

Title

Billing Manager

Phone

(219) 937-5067

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Novamed Surgery Center of Merrillville LLCCCN 15C0001036

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shreyasi H. Dalal, MD

  • Anesthesiology Physician
  • Crown Point, IN
  • NPI 1821022146
  Medicare reassignment NPD
• Elaine Kelly, MD

  • Ophthalmology Physician
  • Hammond, IN
  • NPI 1982264206
  Medicare reassignment NPD
• Chava Shifra Landau, CRNA

  • Certified Registered Nurse Anesthetist
  • Hammond, IN
  • NPI 1831127430
  Medicare reassignment NPD
• Michele Denise Lee, MD

  • Anesthesiology Physician
  • Crown Point, IN
  • NPI 1386727444
  Medicare reassignment NPD
• Linda Girardot, APRN

  • Certified Registered Nurse Anesthetist
  • Homewood, IL
  • NPI 1083392237

  IN

  Medicare reassignment NPD
• Eldi E Deschamps, MD

  • Ophthalmology Physician
  • Merrillville, IN
  • NPI 1013913771
  NPD
• Douglas P Williams MD, M.D.

  • Ophthalmology Physician
  • Crown Point, IN
  • NPI 1609872332
  NPD
• Megan Rose Silas, MD

  • Ophthalmology Physician
  • Hammond, IN
  • NPI 1821450578
  NPD (past)
• Ann Katherine Williams MD, M.D.

  • Ophthalmology Physician
  • Hammond, IN
  • NPI 1043216732
  NPD (past)
• Blake Williams, M.D.

  • Ophthalmology Physician
  • Hammond, IN
  • NPI 1497101018
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1609874254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9797 MASSACHUSETTS ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070278",
            "telephone_number": "219-756-5010",
            "fax_number": "219-756-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 MASSACHUSETTS ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070278",
            "telephone_number": "219-756-5010",
            "fax_number": "219-756-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-937-5067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "05-005727-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "490005624",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Toni Marie Novak, MOT, OTR/L
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• Ambulatory Surgical Clinic/Center in Crown Point, IN
• Providers in Crown Point, 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 Mar 6, 2025; 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.