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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEUROSURGICAL CLINIC OF BLOOMINGTON INC P.C.
NPI 1205821899
Specialist in Bloomington, IN

Active since September 20, 2005
700 S COLLEGE AVE, SUITE A, BLOOMINGTON, IN 47403(812) 331-8168(812) 331-1096 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Mar 5, 2024 (2 updates tracked since 2024).

About Neurosurgical Clinic Of Bloomington Inc P.c. NPPES

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

NEUROSURGICAL CLINIC OF BLOOMINGTON INC P.C. (NPI 1205821899) is a healthcare organization registered as a specialist in Bloomington, Indiana and active in the NPI registry since September 2005. The organization maintains a secondary practice location in Bloomington and lists Marshall M. Poor, President, as its authorized official.

NPPES Registry Identity

NPI1205821899
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEUROSURGICAL CLINIC OF BLOOMINGTON INC P.C.
Location Address700 S COLLEGE AVE, SUITE ABloomington, IN 47403-2500
Mailing Address700 S College Ave Ste ABloomington, IN 47403-2512 · (812) 331-8168 · Fax (812) 331-1096
Phone(812) 331-8168
Fax(812) 331-1096
Organization SubpartNo
Authorized OfficialMarshall M. PoorPresident · (812) 331-8168
Enumeration DateSeptember 20, 2005
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1205821899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in IN · 01040149✔ Licensed in IN · 01039391✔ Licensed in IN · 01051484
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
700 S COLLEGE AVE, Bloomington, IN 47403
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Secondary Practice Location 1

Location 1815 W 2nd StBloomington, IN 47403-2212 · Phone (812) 331-8168 · Fax (812) 331-1096

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neurosurgical Clinic Of Bloomington Inc P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Neurosurgical Clinic Of Bloomington Inc P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Souheil Haddad, M.D.
Neurosurgery
NPI 1659355931
700 S COLLEGE AVE SUITE A
Bloomington, IN 47403
(812) 331-8168
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neurosurgical Clinic Of Bloomington Inc P.C.'s NPI number?

The NPI number for Neurosurgical Clinic Of Bloomington Inc P.C. is 1205821899. It was assigned to this organization in the NPPES registry on September 20, 2005.

Where is Neurosurgical Clinic Of Bloomington Inc P.C. located?

Neurosurgical Clinic Of Bloomington Inc P.C. is located at 700 S College Ave Suite A, Bloomington, IN 47403. The listed phone number is (812) 331-8168.

What is Neurosurgical Clinic Of Bloomington Inc P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Neurosurgical Clinic Of Bloomington Inc P.C. enrolled in Medicare?

Yes. Neurosurgical Clinic Of Bloomington Inc P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurosurgical Clinic Of Bloomington Inc P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Neurosurgical Clinic Of Bloomington Inc P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Neurosurgical Clinic Of Bloomington Inc P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Neurosurgical Clinic Of Bloomington Inc P.C. 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 Neurosurgical Clinic Of Bloomington Inc P.C. was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.