Organization Active NPI

The Endoscopy Center at Bainbridge, LLC

  • Ambulatory Surgical Clinic/Center
  • South Euclid, OH
National Provider Identifier
1689910739
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
THE ENDOSCOPY CENTER AT BAINBRIDGE, LLC
Practice address
1611 S Green Rd
South Euclid, OH 44121-4129
Phone
(440) 708-0582
Fax
(440) 708-0583
NPI assigned
Dec 18, 2012
Organization subpart
Yes
Parent organization
THE ENDOSCOPY CENTER AT BAINBRIDGE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Nicole Romanini
Title
Administrator
Phone
(440) 708-0582

Specialties & licenses 1

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

Addresses

Primary practice location

1611 S Green Rd
South Euclid, OH 44121-4129

Mailing address

1611 S Green Rd
South Euclid, OH 44121-4129
Phone (440) 708-0582

Other names 1

  • University Suburban Endoscopy Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000113 OH Part B Supplier - Ambulatory Surgical Center 5597849794 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chagrin Falls, OH; South Euclid, OH

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
University Suburban Endoscopy CenterCCN 36C0001274
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
36D2052238University Suburban Endoscopy Center1611 S Green Rd Suite 120, South Euclid, OH 44121Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory
Part of
The Endoscopy Center at Bainbridge LLC

Locations

8185 Washington St
Ste 6
Chagrin Falls, OH 44023
Phone (440) 708-0582

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1689910739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214129",
            "telephone_number": "440-708-0582",
            "fax_number": "440-708-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214129",
            "telephone_number": "440-708-0582",
            "fax_number": "440-708-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDOSCOPY CENTER AT BAINBRIDGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ENDOSCOPY CENTER AT BAINBRIDGE, LLC",
        "enumeration_date": "2012-12-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "ROMANINI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-708-0582"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Suburban Endoscopy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.