KOKOMO AMBULATORY SURGERY CENTER
NPI 1609376409
Clinic/Center - Ambulatory Surgical in Kokomo, IN

Q: What is Kokomo Ambulatory Surgery Center's NPI number?

The NPI number for Kokomo Ambulatory Surgery Center is 1609376409. It was assigned to this organization in the NPPES registry on February 19, 2018.

Q: What is Kokomo Ambulatory Surgery Center's specialty?

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

Active since February 19, 2018CLIA 15D2145477 · Waiver

107 S WASHINGTON ST STE A, KOKOMO, IN 46901(765) 450-6735(765) 838-3200 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kokomo Ambulatory Surgery Center NPPES

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

KOKOMO AMBULATORY SURGERY CENTER (NPI 1609376409) is a healthcare organization registered as an ambulatory surgical in Kokomo, Indiana and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Shazia M Siddiqui, Owner, as its authorized official.

NPPES Registry Identity

NPI1609376409

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameKOKOMO AMBULATORY SURGERY CENTER

Location Address107 S WASHINGTON ST STE AKokomo, IN 46901-4601

Mailing AddressPo Box 5748Lafayette, IN 47903-5748 · (765) 714-4344

Phone(765) 450-6735

Fax(765) 838-3200

Organization SubpartNo

Authorized OfficialShazia M SiddiquiOwner · (765) 450-6735

Enumeration DateFebruary 19, 2018

✔ NPI 1609376409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

107 S WASHINGTON ST STE A, Kokomo, IN 46901

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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.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 15D2145477

Kokomo Ambulatory Surgery Center, LLC · Kokomo, IN

Active · expires Mar 6, 2028

CLIA Number15D2145477

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorShazia M. Siddiqui

Laboratory Phone(765) 714-4344

Laboratory LocationKokomo Ambulatory Surgery Center, LLC107 South Washington Street, Kokomo, IN 46901

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 9

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.

224 services67 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.

129 services62 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.

78 services70 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.

57 services39 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

25 services15 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.

24 services11 patients

Other Providers at the Same Location NPPES

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

FIRST AMBULATORY SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

107 S WASHINGTON ST STE A
KOKOMO, IN 46901

Howard County (765) 252-0828

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 Kokomo Ambulatory Surgery Center's NPI number?

The NPI number for Kokomo Ambulatory Surgery Center is 1609376409. It was assigned to this organization in the NPPES registry on February 19, 2018.

Where is Kokomo Ambulatory Surgery Center located?

Kokomo Ambulatory Surgery Center is located at 107 S Washington St Ste A, Kokomo, IN 46901. The listed phone number is (765) 450-6735.

What is Kokomo Ambulatory Surgery Center's specialty?

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

Does Kokomo Ambulatory Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2145477) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kokomo Ambulatory Surgery Center accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kokomo Ambulatory Surgery Center 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 Kokomo Ambulatory Surgery Center was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.