Beltway Surgery Centers, L.L.C.
Organization Active NPI Ambulatory Surgical Clinic/Center · Indianapolis, IN
NPI 1679892913 · NPPES record last updated Aug 7, 2012
Key facts
- NPI
- 1679892913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- BELTWAY SURGERY CENTERS, L.L.C.
- Practice address
- 550 University Blvd Ste 4100
Indianapolis, IN 46202-5149 - Phone
- (317) 817-1456
- Fax
- (317) 805-2242
- NPI assigned
- May 26, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Boeglin, M.D.
- Title
- President
- Phone
- (317) 817-1456
Other NPIs on the same Medicare enrollment 5
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Glen Lehman Endoscopy Suite
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000490 | IN | Part B Supplier - Ambulatory Surgical Center | 9537052055 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carmel, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
550 University Blvd Ste 4100
Indianapolis, IN 46202-5149
Mailing address
550 University Blvd Ste 4100
Indianapolis, IN 46202-5149
Phone (317) 817-1456
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201059860A | Medicaid | IN | |
| M300075519 | Other | IN | MEDICARE PTAN |
NPI Registry JSON
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344297600000",
"number": "1679892913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD STE 4100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-817-1456",
"fax_number": "317-805-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD STE 4100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-817-1456",
"fax_number": "317-805-2242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELTWAY SURGERY CENTERS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-26",
"last_updated": "2012-08-07",
"status": "A",
"authorized_official_last_name": "BOEGLIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-817-1456",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201059860A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M300075519",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
- Beltopia LLC
- Mary B Beltrame
- Anmar Beltran
- Whitney Anne Beltre
- Beltway Surgery Centers LLC
- Beltway Surgery Centers, LLC
- Beltway Surgery Centers, LLC
- Beltway Surgery Centers, LLC
- Amy Beltz
- Homer F Beltz
All providers in Indianapolis, IN · Ambulatory Surgical Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.