Indiana Endoscopy Centers LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

08-006221-1 Issued in IN

Legal business name

INDIANA ENDOSCOPY CENTERS LLC

Practice address

10967 Allisonville Rd
Suite 100
Fishers, IN 46038-2630

Phone

(317) 962-5660

NPI assigned

Jul 24, 2008

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert BoeglinNPI 1740483080

Title

President

Phone

(317) 962-5660

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Indiana Endoscopy Centers LLC

  dba Indiana Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1609051515

  O20080507000080

  Same enrollment

Locations

Practitioners 2

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.

• Robert J Boeglin Jr., M.D.

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1740483080
  NPD (past) Authorized official
• Ajay Jain, MD

  • Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1023067477
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1861657256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD",
            "address_2": "SUITE 410",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021228",
            "telephone_number": "317-962-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD",
            "address_2": "SUITE 100",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382630",
            "telephone_number": "317-962-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA ENDOSCOPY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOEGLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-962-5660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "08-006221-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200893990C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZJ0010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ind ND, LLC (Crossroads Integrative Medicine)
• Indacrest Health Inc
• Independent Adult Day Care Centers - Fishers LLC (Independent Adult Day Care Centers)
• Indiana Anesthesia Solutions LLC
• Indiana Crossroads Community Services
• Indiana Family Care Givers (Indiana Family Care Giver)
• Indiana Luna Care Physical Therapy LLC
• Indiana Oral & Maxillofacial Surgery Associates PC
• Indiana Physician Management-Northeast, LLC
• Indiana Premier Pharmacy

• Ambulatory Surgical Clinic/Center in Fishers, IN
• Providers in Fishers, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.