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GREAT LAKES SURGICAL SUITES
NPI 1093245458
Clinic/Center - Ambulatory Surgical in Munster, IN

Active since June 18, 2017CLIA 15D2136751 · Waiver
9200 CALUMET AVE STE N500, MUNSTER, IN 46321(219) 513-9955(219) 513-9373 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2024, Mar 26, 2021, Oct 29, 2019 and 1 more (4 updates tracked since 2017).

About Great Lakes Surgical Suites NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES SURGICAL SUITES (NPI 1093245458) is a healthcare organization registered as an ambulatory surgical in Munster, Indiana and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Christopher Hartshorn, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1093245458
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGREAT LAKES SURGICAL SUITES, LLC
Location Address9200 CALUMET AVE STE N500Munster, IN 46321-2849
Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (219) 513-9955 · Fax (219) 513-9373
Phone(219) 513-9955
Fax(219) 513-9373
Organization SubpartNo
Authorized OfficialChristopher HartshornOfficer/authorized Official · (314) 800-2017
Enumeration DateJune 18, 2017
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1093245458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9200 CALUMET AVE STE N500, Munster, IN 46321
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Other Names 1

Doing Business AsGreat Lakes Surgical Suites

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2136751

Great Lakes Surgical Suites, LLC · Munster, IN
Active · expires Sep 13, 2027
CLIA Number15D2136751
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorDenis Nam
Laboratory Phone(219) 513-9955
Laboratory LocationGreat Lakes Surgical Suites, LLC9200 Calumet Avenue Suite N500, Munster, IN 46321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
96 services93 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
17 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Surgical Suites, LLC's NPI number?

The NPI number for Great Lakes Surgical Suites, LLC is 1093245458. It was assigned to this organization in the NPPES registry on June 18, 2017. The provider is doing business as Great Lakes Surgical Suites.

Where is Great Lakes Surgical Suites, LLC located?

Great Lakes Surgical Suites, LLC is located at 9200 Calumet Ave Ste N500, Munster, IN 46321. The listed phone number is (219) 513-9955.

What is Great Lakes Surgical Suites, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Great Lakes Surgical Suites, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2136751) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Great Lakes Surgical Suites, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Great Lakes Surgical Suites, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Surgical Suites, LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.