Organization Active NPI

Beltway Surgery Centers, LLC

Doing business as Multispecialty Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Carmel, IN
National Provider Identifier
1689053050
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
15-012823-1 Issued in IN
Legal business name
BELTWAY SURGERY CENTERS, LLC
Doing business as
Multispecialty Surgery Center
Practice address
10601 N Meridian St Ste 100
Carmel, IN 46290-1094
Phone
(317) 575-8444
NPI assigned
May 19, 2015
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mr. Jon Schaefer
Title
Administrator
Phone
(317) 817-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 15-012823-1 IN Primary

Addresses

Primary practice location

10601 N Meridian St Ste 100
Carmel, IN 46290-1094

Mailing address

200 W 103Rd St Ste 2055
Carmel, IN 46290-1001
Phone (317) 817-1450

Other names 1

  • Multispecialty Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Member of 4

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

Member organizations 18

Organizations listed as members of this organization in the National Provider Directory.

View all 18

Locations

10601 N Meridian St
Ste 100
Carmel, IN 46290
Phone (317) 574-5400

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1689053050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 103RD ST STE 2055",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901001",
            "telephone_number": "317-817-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 N MERIDIAN ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901094",
            "telephone_number": "317-575-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELTWAY SURGERY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-817-1450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "15-012823-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multispecialty Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multispecialty Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.