1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Clinic Center
  6. NPI Profile

ADVANCED SURGERY OF INDIANA LLC
NPI 1669816799
Clinic/Center - Ambulatory Surgical in Indianapolis, IN

Active since April 19, 2013
9470 BRIDGEWATER CIR, INDIANAPOLIS, IN 46250(317) 598-0094 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Surgery Of Indiana Llc NPPES

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

ADVANCED SURGERY OF INDIANA LLC (NPI 1669816799) is a healthcare organization registered as an ambulatory surgical in Indianapolis, Indiana and active in the NPI registry since April 2013. The organization lists Scott Edward Mimms, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1669816799
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED SURGERY OF INDIANA LLC
Location Address9470 BRIDGEWATER CIRIndianapolis, IN 46250-3412
Mailing AddressPo Box 56051Indianapolis, IN 46256-0051 · (317) 598-0094
Phone(317) 598-0094
Organization SubpartNo
Authorized OfficialScott Edward MimmsSurgeon · (317) 679-1757
Enumeration DateApril 19, 2013
✔ NPI 1669816799 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 · 01068514A
9470 BRIDGEWATER CIR, Indianapolis, IN 46250
Open in Google Maps ↗

Other Identifiers 2

Medicare PINM400051720IN
Medicaid200986830IN

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 Advanced Surgery Of Indiana LLC's NPI number?

The NPI number for Advanced Surgery Of Indiana LLC is 1669816799. It was assigned to this organization in the NPPES registry on April 19, 2013.

Where is Advanced Surgery Of Indiana LLC located?

Advanced Surgery Of Indiana LLC is located at 9470 Bridgewater Cir, Indianapolis, IN 46250. The listed phone number is (317) 598-0094.

What is Advanced Surgery Of Indiana LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Surgery Of Indiana LLC was last updated on April 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.