Organization Active NPI

Senate Street Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1669559928
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SENATE STREET SURGERY CENTER LLC
Practice address
1701 Senate Blvd
Suite 338
Indianapolis, IN 46202-1239
Phone
(317) 962-9303
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Robert Boeglin
Title
President, Senate Street Surgery
Phone
(317) 562-5660

Specialties & licenses 1

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

Addresses

Primary practice location

1701 Senate Blvd
Suite 338
Indianapolis, IN 46202-1239

Mailing address

1701 N Senate Ave
Suite 338
Indianapolis, IN 46202-5306
Phone (317) 962-9303

Other identifiers 1

IdentifierTypeStateIssuer
200887640AMedicaidIN

Other names 1

  • Clarian Health Partners Inc MBR Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000506 IN Part B Supplier - Ambulatory Surgical Center 0648356477 Practice locations: Indianapolis, IN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Senate Street Surgery Center LLC Iu HealthCCN 15C0001157
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Locations

4476 Reliable Pkwy
Chicago, IL 60686

10300 N Illinois St
Ste 2055
Carmel, IN 46290

1701 N Senate Ave
Ste 338
Indianapolis, IN 46202

1801 N Senate Blvd
#D1
Indianapolis, IN 46202

1801 Senate Blvd
Indianapolis, IN 46202
Phone (317) 929-8880

1701 Senate Blvd
Ste 338
Indianapolis, IN 46202
Phone (317) 962-9303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1669559928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N SENATE AVE",
            "address_2": "SUITE 338",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025306",
            "telephone_number": "317-962-9303",
            "fax_number": "317-962-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SENATE BLVD",
            "address_2": "SUITE 338",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENATE STREET SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "BOEGLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT, SENATE STREET SURGERY",
        "authorized_official_telephone_number": "317-562-5660"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200887640A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarian Health Partners Inc MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 1, 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.