Organization Active NPI

Paoli Surgery Center LLC

Doing business as Main Line Health Surgery Center Paoli

  • Ambulatory Surgical Clinic/Center
  • Paoli, PA
National Provider Identifier
1841255718
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PAOLI SURGERY CENTER LLC
Doing business as
Main Line Health Surgery Center Paoli
Practice address
1 Industrial Blvd
Paoli, PA 19301-1601
Phone
(610) 408-0822
Fax
(610) 408-9933
NPI assigned
Apr 20, 2006
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Philip BilelloNPI 1255378030
Title
Officer
Phone
(610) 408-0822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1 Industrial Blvd
Paoli, PA 19301-1601

Mailing address

1 Industrial Blvd
Paoli, PA 19301-1601
Phone (610) 408-0822

Other names 1

  • Main Line Health Surgery Center Paoli Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001373 PA Part B Supplier - Ambulatory Surgical Center 9133115835 Practice locations: Paoli, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Paoli Surgery Center LPCCN 39C0001053
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Locations

11221 Roe Ave
Leawood, KS 66211

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1841255718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL BLVD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011601",
            "telephone_number": "610-408-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL BLVD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011601",
            "telephone_number": "610-408-0822",
            "fax_number": "610-408-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLI SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "BILELLO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "610-408-0822"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Line Health Surgery Center Paoli",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.