Organization Active NPI

South Campus Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1659519684
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
090053961 Issued in IN
Legal business name
SOUTH CAMPUS SURGERY CENTER LLC
Practice address
1550 E County Line Rd Ste 100
Indianapolis, IN 46227-7217
Phone
(317) 887-7600
Fax
(317) 887-7606
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Natalie Christy
Title
VP NWK Periop SVC/BM
Phone
(317) 621-7115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 090053961 IN Primary

Addresses

Primary practice location

1550 E County Line Rd Ste 100
Indianapolis, IN 46227-7217

Mailing address

1550 E County Line Rd Ste 100
Indianapolis, IN 46227-7217
Phone (317) 887-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000043 IN Part B Supplier - Ambulatory Surgical Center 4082760459 Practice locations: Indianapolis, IN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Community Surgery Center SouthCCN 15C0001015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

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

Locations

5677 Reliable Pkwy
Chicago, IL 60686

1550 E County Line Rd
#R
Indianapolis, IN 46227
Phone (317) 887-7600

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1659519684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277217",
            "telephone_number": "317-887-7600",
            "fax_number": "317-887-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277217",
            "telephone_number": "317-887-7600",
            "fax_number": "317-887-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAMPUS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "CHRISTY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "VP NWK PERIOP SVC/BM",
        "authorized_official_telephone_number": "317-621-7115"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "090053961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.