RIVERVIEW SURGERY CENTER LLC
NPI 1669748125
Clinic/Center - Ambulatory Surgical in Rockport, IN

Q: What is Riverview Surgery Center LLC's NPI number?

The NPI number for Riverview Surgery Center LLC is 1669748125. It was assigned to this organization in the NPPES registry on March 29, 2012.

Q: What is Riverview Surgery Center LLC's specialty?

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

Active since March 29, 2012CLIA 15D2041154 · Waiver

1276 N PLAZA DR, ROCKPORT, IN 47635(812) 649-2500(812) 649-9427 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverview Surgery Center Llc NPPES

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

RIVERVIEW SURGERY CENTER LLC (NPI 1669748125) is a healthcare organization registered as an ambulatory surgical in Rockport, Indiana and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Shane David Boles, Md, as its authorized official.

NPPES Registry Identity

NPI1669748125

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRIVERVIEW SURGERY CENTER LLC

Location Address1276 N PLAZA DRRockport, IN 47635

Mailing Address1276 N Plaza DriveRockport, IN 47635 · (812) 649-2500 · Fax (812) 649-9427

Phone(812) 649-2500

Fax(812) 649-9427

Organization SubpartNo

Authorized OfficialShane David BolesMd · (812) 644-2500

Enumeration DateMarch 29, 2012

Last NPPES UpdateFebruary 5, 2014

✔ NPI 1669748125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1276 N PLAZA DR, Rockport, IN 47635

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Other Identifiers 1

Medicare PININ1196IN

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 15D2041154

Riverview Surgery Center, LLC · Rockport, IN

Active · expires May 16, 2028

CLIA Number15D2041154

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 17, 2026

Certificate Expiration DateMay 16, 2028

Laboratory DirectorShafe David Boles

Laboratory Phone(812) 430-2051

Laboratory LocationRiverview Surgery Center, LLC1276 N Plaza Dr, Rockport, IN 47635

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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 anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

76 services48 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.

42 services24 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

34 services34 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.

33 services33 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

26 services16 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

26 services21 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

23 services20 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.

23 services22 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.

20 services20 patients

Incision or partial removal of foot bone (other than big toe) to straighten toe 28308

This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.

19 services11 patients

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.

18 services18 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

16 services16 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.

15 services15 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

11 services11 patients

Other Providers at the Same Location NPPES 2

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

APOLLO MEDICAL GROUP LLC

Anesthesiology

1276 N PLAZA DR
ROCKPORT, IN 47635

Spencer County (812) 649-2500

JOSHI HEALTHCARE OF KMC LLC

Anesthesiology

1276 N PLAZA DR
ROCKPORT, IN 47635

Spencer County (812) 649-2500

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 Riverview Surgery Center LLC's NPI number?

The NPI number for Riverview Surgery Center LLC is 1669748125. It was assigned to this organization in the NPPES registry on March 29, 2012.

Where is Riverview Surgery Center LLC located?

Riverview Surgery Center LLC is located at 1276 N Plaza Dr, Rockport, IN 47635. The listed phone number is (812) 649-2500.

What is Riverview Surgery Center LLC's specialty?

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

Does Riverview Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2041154) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverview Surgery Center LLC was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.