BLUE ASH ENDOSCOPY CENTER, LLC
NPI 1649957168
Clinic/Center - Ambulatory Surgical in Cincinnati, OH

Active since June 28, 2023CLIA 36D2293244 · Waiver
11333 CORNELL PARK DR, CINCINNATI, OH 45242(513) 569-1355 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2026, Jan 9, 2025 (2 updates tracked since 2025).

About Blue Ash Endoscopy Center, Llc NPPES

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

BLUE ASH ENDOSCOPY CENTER, LLC (NPI 1649957168) is a healthcare organization registered as an ambulatory surgical in Cincinnati, Ohio and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through November 5, 2027 and lists Scott Montgomery, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1649957168
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBLUE ASH ENDOSCOPY CENTER, LLC
Location Address11333 CORNELL PARK DRCincinnati, OH 45242-1813
Mailing Address11333 Cornell Park Dr Ste 100Blue Ash, OH 45242-1813
Organization SubpartYesParent: Gcga Physicians Llc.
Authorized OfficialScott MontgomeryOfficer/authorized Official · (615) 545-9132
Enumeration DateJune 28, 2023
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1649957168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
11333 CORNELL PARK DR, Cincinnati, OH 45242

Accepted 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 36D2293244

Blue Ash Endoscopy Center, LLC · Cincinnati, OH
Active · expires Nov 5, 2027
CLIA Number36D2293244
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorManojkumar Singh
Laboratory Phone(513) 569-1355
Laboratory LocationBlue Ash Endoscopy Center, LLC11333 Cornell Park Drive Suite 100, Cincinnati, OH 45242
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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
205 services205 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
121 services118 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
83 services83 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
44 services44 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
27 services27 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
17 services16 patients

Other Providers at the Same Location NPPES 3

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

Pharmacist
11333 CORNELL PARK DR
BLUE ASH, OH 45242
Pharmacy (Community/Retail Pharmacy)
11333 CORNELL PARK DR
BLUE ASH, OH 45242
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
11333 CORNELL PARK DR
BLUE ASH, OH 45242

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 Blue Ash Endoscopy Center, LLC's NPI number?

The NPI number for Blue Ash Endoscopy Center, LLC is 1649957168. It was assigned to this organization in the NPPES registry on June 28, 2023.

Where is Blue Ash Endoscopy Center, LLC located?

Blue Ash Endoscopy Center, LLC is located at 11333 Cornell Park Dr, Cincinnati, OH 45242. The listed phone number is (513) 569-1355.

What is Blue Ash Endoscopy Center, LLC's specialty?

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

Does Blue Ash Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2293244) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Ash Endoscopy Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Blue Ash Endoscopy 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 Blue Ash Endoscopy Center, LLC was last updated on April 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.