Active NPI
Senate Street Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200887640A | Medicaid | IN |
Other names 1
- Clarian Health Partners Inc MBR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Health
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1902061583
Member Of
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.
-
- Ophthalmology Physician
- Indianapolis, IN
- NPI 1154323772
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.