1. Home
  2. Directory
  3. Pennsylvania
  4. Pottsville
  5. Clinic Center
  6. NPI Profile

KEYSTONE SURGERY CENTER, LTD
NPI 1679544290
Clinic/Center - Ambulatory Surgical in Pottsville, PA

Active since January 31, 2006CLIA 39D1016119 · Waiver
575 E NORWEGIAN ST, POTTSVILLE, PA 17901(570) 622-1200(570) 622-7787 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keystone Surgery Center, Ltd NPPES

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

KEYSTONE SURGERY CENTER, LTD (NPI 1679544290) is a healthcare organization registered as an ambulatory surgical in Pottsville, Pennsylvania and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Robert Monroe Kimmel, Ceo/medical Director, as its authorized official.

NPPES Registry Identity

NPI1679544290
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKEYSTONE SURGERY CENTER, LTD
Location Address575 E NORWEGIAN STPottsville, PA 17901-3711
Mailing Address575 E Norwegian StPottsville, PA 17901-3711 · (570) 622-1200 · Fax (570) 622-7787
Phone(570) 622-1200
Fax(570) 622-7787
Organization SubpartNo
Authorized OfficialRobert Monroe KimmelCeo/medical Director · (570) 622-1200
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJanuary 22, 2009
✔ NPI 1679544290 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 PA · 16671501
575 E NORWEGIAN ST, Pottsville, PA 17901
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN074442PA

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 39D1016119

Keystone Surgery Center · Pottsville, PA
Active · expires Aug 19, 2027
CLIA Number39D1016119
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorRobert M. Kimmel MD
Laboratory Phone(570) 622-2900
Laboratory LocationKeystone Surgery Center575 East Norwegian Street, Pottsville, PA 17901
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 3

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.

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040
This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.
22 services19 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
16 services12 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041
This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.
15 services14 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.

DR. ROBERT MONROE KIMMEL M.D., FACS
Surgery (Plastic and Reconstructive Surgery)
575 E NORWEGIAN ST
POTTSVILLE, PA 17901
Schuylkill County (570) 622-2900

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 Keystone Surgery Center, Ltd's NPI number?

The NPI number for Keystone Surgery Center, Ltd is 1679544290. It was assigned to this organization in the NPPES registry on January 31, 2006.

Where is Keystone Surgery Center, Ltd located?

Keystone Surgery Center, Ltd is located at 575 E Norwegian St, Pottsville, PA 17901. The listed phone number is (570) 622-1200.

What is Keystone Surgery Center, Ltd's specialty?

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

Does Keystone Surgery Center, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1016119) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keystone Surgery Center, Ltd was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.