INDIANA SPECIALTY SURGERY CENTER
NPI 1174777817
Clinic/Center - Ambulatory Surgical in Bloomington, IN

Q: What is Indiana Specialty Surgery Center, LLC's specialty?

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

Active since November 07, 2008CLIA 15D1089908 · Waiver

1380 W ARCH HAVEN AVE, BLOOMINGTON, IN 47403(812) 330-1164(812) 332-5102 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Indiana Specialty Surgery Center NPPES

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

INDIANA SPECIALTY SURGERY CENTER (NPI 1174777817) is a healthcare organization registered as an ambulatory surgical in Bloomington, Indiana and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Gregory M Fox, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174777817

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameINDIANA SPECIALTY SURGERY CENTER, LLC

Location Address1380 W ARCH HAVEN AVEBloomington, IN 47403-2055

Mailing Address1380 W Arch Haven AveBloomington, IN 47403-2055 · (812) 330-1164 · Fax (812) 332-5102

Phone(812) 330-1164

Fax(812) 332-5102

Organization SubpartNo

Authorized OfficialGregory M FoxCeo · (812) 333-4000

Enumeration DateNovember 7, 2008

✔ NPI 1174777817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1380 W ARCH HAVEN AVE, Bloomington, IN 47403

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Other Names 1

Doing Business AsIndiana Specialty Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 15D1089908

Dba Indiana Specialty Surgery Center Bloomington ASC, LLC · Bloomington, IN

Active · expires Sep 29, 2026

CLIA Number15D1089908

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 30, 2024

Certificate Expiration DateSeptember 29, 2026

Laboratory DirectorDr. Gary Gettelfinger

Laboratory Phone(812) 330-1164

Laboratory LocationDba Indiana Specialty Surgery Center Bloomington ASC, LLC1380 W Arch Haven Ave, Bloomington, IN 47403

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLOOMINGTON ASC, LLC

Clinic/Center (Ambulatory Surgical)

1380 W ARCH HAVEN AVE
BLOOMINGTON, IN 47403

Monroe County (812) 330-1164

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 Indiana Specialty Surgery Center, LLC's NPI number?

The NPI number for Indiana Specialty Surgery Center, LLC is 1174777817. It was assigned to this organization in the NPPES registry on November 7, 2008. The provider is doing business as Indiana Specialty Surgery Center.

Where is Indiana Specialty Surgery Center, LLC located?

Indiana Specialty Surgery Center, LLC is located at 1380 W Arch Haven Ave, Bloomington, IN 47403. The listed phone number is (812) 330-1164.

What is Indiana Specialty Surgery Center, LLC's specialty?

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

Does Indiana Specialty Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1089908) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indiana Specialty Surgery Center, LLC accept?

Health plans from UnitedHealthcare list Indiana Specialty Surgery Center, 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 Indiana Specialty Surgery Center, LLC was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.