SURGERY CENTER CEDAR RAPIDS
NPI 1124022595
Clinic/Center - Ambulatory Surgical in Cedar Rapids, IA

Active since June 13, 2005CLIA 16D1013448 · Waiver
1075 1ST AVENUE SE, CEDAR RAPIDS, IA 52402(319) 558-4800(319) 558-4806 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgery Center Cedar Rapids NPPES

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

SURGERY CENTER CEDAR RAPIDS (NPI 1124022595) is a healthcare organization registered as an ambulatory surgical in Cedar Rapids, Iowa and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Kallemeyn Scott, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124022595
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC
Location Address1075 1ST AVENUE SECedar Rapids, IA 52402
Mailing Address1075 1st Avenue SeCedar Rapids, IA 52402 · (319) 558-4802 · Fax (319) 558-4806
Fax(319) 558-4806
Organization SubpartNo
Authorized OfficialKallemeyn ScottExecutive Director · (319) 558-4801
Enumeration DateJune 13, 2005
Last NPPES UpdateJanuary 2, 2019
NPI 1124022595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1075 1ST AVENUE SE, Cedar Rapids, IA 52402

Other Names 1

Doing Business AsSurgery Center Cedar Rapids

Other Identifiers 2

Medicaid0610238IA
Other61016IA · Wellmark-bc/bs Id Number

Accepted 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 16D1013448

Surgery Center Cedar Rapids · Cedar Rapids, IA
Active · expires Jun 9, 2027
CLIA Number16D1013448
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorMichelle Lutz
Laboratory Phone(319) 558-4800
Laboratory LocationSurgery Center Cedar Rapids1075 First Avenue SE, Cedar Rapids, IA 52402
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 28

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.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
6,794 services59 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
543 services329 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
115 services114 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
113 services101 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
64 services64 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
60 services60 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 The Outpatient Surgery Center Of Cedar Rapids, LLC's NPI number?

The NPI number for The Outpatient Surgery Center Of Cedar Rapids, LLC is 1124022595. It was assigned to this organization in the NPPES registry on June 13, 2005. The provider is doing business as Surgery Center Cedar Rapids.

Where is The Outpatient Surgery Center Of Cedar Rapids, LLC located?

The Outpatient Surgery Center Of Cedar Rapids, LLC is located at 1075 1st Avenue SE, Cedar Rapids, IA 52402. The listed phone number is (319) 558-4800.

What is The Outpatient Surgery Center Of Cedar Rapids, LLC's specialty?

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

Does The Outpatient Surgery Center Of Cedar Rapids, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1013448) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Outpatient Surgery Center Of Cedar Rapids, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list The Outpatient Surgery Center Of Cedar Rapids, 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 The Outpatient Surgery Center Of Cedar Rapids, LLC was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.