Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENDOSCOPY CENTER, LLC

Practice address

13421 Old Meridian St
Carmel, IN 46032-1427

Phone

(317) 706-1600

Fax

(317) 706-1601

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Miss Charlotte Boden I

Title

Director

Phone

(317) 706-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Endoscopy Center LLCCCN 15C0001130

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Endoscopy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Carmel, IN
  • NPI 1427003821
  NPD tax ID

Member of 1

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

• St. Vincent Carmel Hospital, Inc.

  dba Ascension St. Vincent Carmel

  • General Acute Care Hospital
  • Carmel, IN
  • NPI 1639124134

  Member Of

  NPD member

Locations

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.

• Sweta Reddy Tandra, MD

  • Gastroenterology Physician
  • Carmel, IN
  • NPI 1124193685
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902831225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321427",
            "telephone_number": "317-706-1600",
            "fax_number": "317-706-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321427",
            "telephone_number": "317-706-1600",
            "fax_number": "317-706-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-706-1600",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00109101",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Carmel, IN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.