Active NPI
The Endoscopy Center at Bainbridge, LLC
- Ambulatory Surgical Clinic/Center
- South Euclid, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Ambulatory Surgical Clinic/Center
- Chagrin Falls, OH
- NPI 1831217231
O20080227000113
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- University Suburban Endoscopy Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2052238 | University Suburban Endoscopy Center | Certificate of waiver | Jan 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.
-
- Ambulatory Surgical Clinic/Center
- Chagrin Falls, OH
- NPI 1831217231
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Chagrin Falls, OH
- NPI 1003859539
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.