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BROADWEST SPECIALTY SURGICAL CENTER, LLC
NPI 1770532194
Clinic/Center - Ambulatory Surgical in Merrillville, IN

Active since May 10, 2006CLIA 15D1073801 · Waiver
315 W 89TH AVENUE, MERRILLVILLE, IN 46410(219) 757-5275(219) 757-5292 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Broadwest Specialty Surgical Center, Llc NPPES

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

BROADWEST SPECIALTY SURGICAL CENTER, LLC (NPI 1770532194) is a healthcare organization registered as an ambulatory surgical in Merrillville, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Vijay K. Gupta, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1770532194
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBROADWEST SPECIALTY SURGICAL CENTER, LLC
Location Address315 W 89TH AVENUEMerrillville, IN 46410-6254
Mailing Address315 W 89th AvenueMerrillville, IN 46410-6254 · (219) 757-5275 · Fax (219) 757-5292
Phone(219) 757-5275
Fax(219) 757-5292
Organization SubpartNo
Authorized OfficialVijay K. GuptaPresident/ceo · (219) 757-5275
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 1, 2015
✔ NPI 1770532194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
315 W 89TH AVENUE, Merrillville, IN 46410
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Other Identifiers 3

Medicare PINP00412907IN
Medicare NSC6026210001IN
Medicare PINZH8000IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 15D1073801

Broadwest Specialty Surgical Ct LLC · Merrillville, IN
Active · expires Sep 16, 2027
CLIA Number15D1073801
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorSaveen Kondamuri
Laboratory Phone(219) 757-5275
Laboratory LocationBroadwest Specialty Surgical Ct LLC315 W 89th Ave, Merrillville, IN 46410
CLIA data matches this NPI record on: Address Phone
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 tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
65 services34 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.
41 services25 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services12 patients

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 Broadwest Specialty Surgical Center, LLC's NPI number?

The NPI number for Broadwest Specialty Surgical Center, LLC is 1770532194. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Broadwest Specialty Surgical Center, LLC located?

Broadwest Specialty Surgical Center, LLC is located at 315 W 89th Avenue, Merrillville, IN 46410. The listed phone number is (219) 757-5275.

What is Broadwest Specialty Surgical Center, LLC's specialty?

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

Does Broadwest Specialty Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1073801) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Broadwest Specialty Surgical Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Broadwest Specialty Surgical 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 Broadwest Specialty Surgical Center, LLC was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.