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CROWN POINT SURGICAL SUITES, LLC
NPI 1255936761
Clinic/Center - Ambulatory Surgical in Crown Point, IN

Active since December 02, 2020CLIA 15D2210468 · Waiver
11051 BROADWAY STE B, CROWN POINT, IN 46307(219) 308-0193 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crown Point Surgical Suites, Llc NPPES

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

CROWN POINT SURGICAL SUITES, LLC (NPI 1255936761) is a healthcare organization registered as an ambulatory surgical in Crown Point, Indiana and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1255936761
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCROWN POINT SURGICAL SUITES, LLC
Location Address11051 BROADWAY STE BCrown Point, IN 46307-7490
Mailing Address11051 Broadway Ste BCrown Point, IN 46307-7490
Phone(219) 308-0193
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateDecember 2, 2020
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1255936761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
11051 BROADWAY STE B, Crown Point, IN 46307
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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 15D2210468

Crown Point Surgical Suites, LLC · Crown Point, IN
Active · expires Jan 20, 2027
CLIA Number15D2210468
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorDr. Nikhil Pandhi
Laboratory Phone(219) 308-0193
Laboratory LocationCrown Point Surgical Suites, LLC11051 Broadway, Suite B, Crown Point, IN 46307
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 3

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.

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.
60 services49 patients
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.
38 services35 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
22 services20 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 Crown Point Surgical Suites, LLC's NPI number?

The NPI number for Crown Point Surgical Suites, LLC is 1255936761. It was assigned to this organization in the NPPES registry on December 2, 2020.

Where is Crown Point Surgical Suites, LLC located?

Crown Point Surgical Suites, LLC is located at 11051 Broadway Ste B, Crown Point, IN 46307. The listed phone number is (219) 308-0193.

What is Crown Point Surgical Suites, LLC's specialty?

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

Does Crown Point Surgical Suites, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2210468) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crown Point Surgical Suites, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Crown Point 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 Crown Point Surgical Suites, LLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.