Active NPI
Northwest Regional Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Merrillville, IN
National Provider Identifier
1871838003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NORTHWEST REGIONAL SURGERY CENTER, LLC
- Practice address
- 8900 Broadway
Merrillville, IN 46410-7040 - Phone
- (219) 252-2173
- NPI assigned
- Nov 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bailey
- Title
- Officer/Authorized Official
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
8900 Broadway
Merrillville, IN 46410-7040
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (972) 763-3859
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130315000260 | IN | Part B Supplier - Ambulatory Surgical Center | 8628213808 | Practice locations: Merrillville, IN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Northwest Regional Surgery Center LLC
- 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 |
|---|---|---|---|
| 15D2049645 | Northwest Regional Surgery Center, LLC | Certificate of waiver | Nov 8, 2026 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Merrillville, IN
- NPI 1962401505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1871838003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 DALLAS PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542916",
"telephone_number": "972-763-3859",
"fax_number": "972-920-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107040",
"telephone_number": "219-252-2173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST REGIONAL SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-28",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "203-609-1168"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Merrillville, IN
- Northwest Indiana Retina Institute LLC
- Northwest Indiana Spinal Surgery, P.C.
- Northwest Indiana Treatment Center, LLC
- Northwest Medical Courier LLC
- Northwest Orthopedic Consultants, Inc.
- Norwood Enterprises, LLC
- Amari La'Nae Norwood
- Danielle Norwood, RBT
- Jordan Blitz Novak, MM, MT-BC
- Novamed Surgery Center of Merrillville, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.