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LPC SURGERY CENTER LLC
NPI 1447612114
Clinic/Center - Ambulatory Surgical in Lafayette, IN

Active since March 22, 2016CLIA 15D2105540 · Waiver
770 PARK EAST BLVD, SUITE A, LAFAYETTE, IN 47905(765) 714-4344 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2016, Mar 22, 2016 (2 updates tracked since 2016).

About Lpc Surgery Center Llc NPPES

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

LPC SURGERY CENTER LLC (NPI 1447612114) is a healthcare organization registered as an ambulatory surgical in Lafayette, Indiana and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Shazia M Siddiqui, Manager, as its authorized official.

NPPES Registry Identity

NPI1447612114
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLPC SURGERY CENTER LLC
Location Address770 PARK EAST BLVD, SUITE ALafayette, IN 47905-0786
Mailing Address770 Park East Blvd, Suite ALafayette, IN 47905-0786 · (765) 714-4344
Phone(765) 714-4344
Organization SubpartNo
Authorized OfficialShazia M SiddiquiManager · (765) 714-4344
Enumeration DateMarch 22, 2016
Last NPPES UpdateAugust 12, 20162 updates tracked since enumeration
✔ NPI 1447612114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IN · 01059790A
770 PARK EAST BLVD, Lafayette, IN 47905
Open in Google Maps ↗

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)

Lpc Surgery Center Llc 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 Lpc Surgery Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shazia Siddiqui, MD
Interventional Pain Management
NPI 1629001680
770 PARK EAST BLVD SUITE B
Lafayette, IN 47905
(765) 714-4344
✔ 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.

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 15D2105540

Lpc Surgery Center, LLC Dba Lafayette Surgery Ctr · Lafayette, IN
Active · expires Nov 29, 2027
CLIA Number15D2105540
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorShazia Siddiqui
Laboratory Phone(765) 714-4344
Laboratory LocationLpc Surgery Center, LLC Dba Lafayette Surgery Ctr770 Park East Blvd, Ste A, Lafayette, IN 47905
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 6

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 of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
73 services23 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
48 services23 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
44 services13 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
23 services15 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
22 services20 patients
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633
This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
20 services11 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 Lpc Surgery Center LLC's NPI number?

The NPI number for Lpc Surgery Center LLC is 1447612114. It was assigned to this organization in the NPPES registry on March 22, 2016.

Where is Lpc Surgery Center LLC located?

Lpc Surgery Center LLC is located at 770 Park East Blvd Suite A, Lafayette, IN 47905. The listed phone number is (765) 714-4344.

What is Lpc Surgery Center LLC's specialty?

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

Is Lpc Surgery Center LLC enrolled in Medicare?

Yes. Lpc Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lpc Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Lpc Surgery Center LLC. 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.

Does Lpc Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2105540) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lpc Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Lpc 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 Lpc Surgery Center LLC was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.