NPIMap

Organization Active NPI

Urology Health Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Broomall, PA
National Provider Identifier
1669931861
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UROLOGY HEALTH SURGERY CENTER, LLC
Practice address
1974 Sproul Rd Ste 104
Broomall, PA 19008-3402
Phone
(610) 259-3000
Fax
(610) 259-3042
NPI assigned
Mar 18, 2019
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Robert Coale
Title
Manager
Phone
(610) 600-9935

Specialties & licenses 1

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

Addresses

Primary practice location

1974 Sproul Rd Ste 104
Broomall, PA 19008-3402

Mailing address

PO Box 1287
Blue Bell, PA 19422-0410
Phone (484) 530-0205

Other names 1

  • Urology Health Surgery Center, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070827000252 PA Part B Supplier - Ambulatory Surgical Center 3375635063 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntingdon Valley, PA
O20260416001440 PA Part B Supplier - Ambulatory Surgical Center 3375635063 Receives reassigned benefits from 9 practitioners
Practice locations: Broomal, PA

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Urology Health Surgery Center LLCCCN 39C0001368
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2172689Urology Health Surgery Center, LLC1974 Sproul Rd, Suite 104, Broomall, PA 19008Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

4 Industrial Blvd
Ste 175
Paoli, PA 19301
Phone (610) 525-2515

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1669931861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1287",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194220410",
            "telephone_number": "484-530-0205",
            "fax_number": "484-330-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 SPROUL RD STE 104",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083402",
            "telephone_number": "610-259-3000",
            "fax_number": "610-259-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY HEALTH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "COALE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-600-9935"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Health Surgery Center, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Urology Health Surgery Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.