KEYSTONE SURGERY CENTER, LTD
NPI 1679544290
Clinic/Center - Ambulatory Surgical in Pottsville, PA
NPI Status: Active since January 31, 2006
Contact Information
575 E NORWEGIAN ST
POTTSVILLE, PA
ZIP 17901
Phone: (570) 622-1200
Fax: (570) 622-7787
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 39D1016119
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-19-2027
About KEYSTONE SURGERY CENTER, LTD
This page provides the complete NPI Profile along with additional information for Keystone Surgery Center, Ltd, a provider established in Pottsville, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1679544290 assigned on January 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 16671501 (PA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Robert Monroe Kimmel M.d., Facs (Ceo/medical Director)
- NPI
- 1679544290
- Provider Name
- KEYSTONE SURGERY CENTER, LTD
- Entity Type
- Organization
- Location Address
- 575 E NORWEGIAN ST POTTSVILLE, PA 17901
- Location Phone
- (570) 622-1200
- Location Fax
- (570) 622-7787
- Mailing Address
- 575 E NORWEGIAN ST POTTSVILLE, PA 17901
- Mailing Phone
- (570) 622-1200
- Mailing Fax
- (570) 622-7787
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2006
- Last Update Date
- 01-22-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 16671501
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 074442 | MEDICARE PIN (08) | PA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Injection of anesthetic agent and/or steroid into other nerve or branch
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
This service was performed 18 times for 13 patientsThis 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.
This service was performed 27 times for 24 patientsThis 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.
This service was performed 17 times for 15 patientsThis procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.
This service was performed 16 times for 12 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D1016119
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 20, 2025
- Certificate Expiration Date
- August 19, 2027
- Laboratory Director
- ROBERT M. KIMMEL MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Keystone Surgery Center, Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679544290, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
POTTSVILLE, PA 17901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679544290, enumerated as an "organization" on January 31, 2006.
The provider is located at 575 E NORWEGIAN ST POTTSVILLE, PA 17901 and the phone number is (570) 622-1200.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
