Intrepidus

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTREPIDUS

Doing business as

Intrepidus Surgical Institute

Practice address

924 Red Rose CT
Lancaster, PA 17601-1969

Phone

(717) 689-7003

NPI assigned

Oct 28, 2025

Last updated

Dec 23, 2025By 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

Bethany Rommel, MD

Title

Treasurer

Phone

(717) 689-7703

Specialties & licenses 1

Addresses

Other names 1

• Intrepidus Surgical Institute Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952279259. Details of each certification follow.

• CCN 39C0001408 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 39C0001408

Legal name

INTREPIDUS SURGICAL INSTITUTE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 31, 2026

Last certification

Mar 31, 2026

Facility address

924 Red Rose Court
Lancaster, PA 17601

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Salman Porbandarwalla, M.D., M.S.

  • Retina Specialist (Ophthalmology) Physician
  • Lancaster, PA
  • NPI 1245490663
  NPD

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1952279259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 RED ROSE CT",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011969",
            "telephone_number": "717-689-7003",
            "fax_number": "717-689-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 RED ROSE CT",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011969",
            "telephone_number": "717-689-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPIDUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "ROMMEL",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "717-689-7703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrepidus Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Inners, M.D.
• Innovative Medical Institute, LLC
• Integrated Foot and Ankle Specialists of PA LLC (Lancaster Podiatry Center)
• Intersectional Life Counseling and Psychology LLC
• Peter Intoccia, BH
• Invicta Counseling LLC
• Cassandra Ippolito, MS CCC-SLP
• Frank Peter Ippolito, P.T.
• Jennifer Irizarry
• Joshua Benjamin Irvine, M.A.

• Ambulatory Surgical Clinic/Center in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.