SOUTHERN INDIANA ENDOSCOPY, LLC
NPI 1831110170
Clinic/Center - Ambulatory Surgical in New Albany, IN

NPI Status: Active since July 22, 2006

Contact Information

2630 GRANT LINE RD
NEW ALBANY, IN
ZIP 47150
Phone: (812) 945-0145
Fax: (812) 206-7089

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 15D2275450
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 01-22-2027

About SOUTHERN INDIANA ENDOSCOPY, LLC

This page provides the complete NPI Profile along with additional information for Southern Indiana Endoscopy, Llc, a provider established in New Albany, Indiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1831110170 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 060028691 (IN). 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 Stuart H Coleman M.d. (Medical Director)

NPI
1831110170
Provider Name
SOUTHERN INDIANA ENDOSCOPY, LLC
Entity Type
Organization
Location Address
2630 GRANT LINE RD NEW ALBANY, IN 47150
Location Phone
(812) 945-0145
Location Fax
(812) 206-7089
Mailing Address
825 UNIVERSITY WOODS DR SUITE 2 NEW ALBANY, IN 47150
Mailing Phone
(812) 945-0145
Mailing Fax
(812) 206-7089
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
07-24-2009
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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.
060028691
License State
IN

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STUART H COLEMAN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(812) 945-0145

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
ZM2090MEDICARE ID-TYPE UNSPECIFIED (04)INMEDICARE PROVIDER NUMBER
200358660AMEDICAID (05)IN 

CLIA 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
15D2275450
Facility Type
Practitioner Other
Certificate Effective Date
January 23, 2025
Certificate Expiration Date
January 22, 2027
Laboratory Director
LEE MISTY HUMPHRESS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Indiana Endoscopy, Llc 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 1831110170, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 1 → 2 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 2 + 1 + 0 + 1 + 1 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1831110170.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Nurse Practitioner
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Nurse Practitioner (Family)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Nurse Practitioner (Family)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Physician Assistant
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Nurse Practitioner (Family)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Nurse Practitioner (Adult Health)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Nurse Practitioner (Adult Health)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Physician Assistant
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Nurse Practitioner (Family)
2630 GRANT LINE RD
NEW ALBANY, IN 47150
Internal Medicine (Gastroenterology)
2630 GRANT LINE RD
NEW ALBANY, IN 47150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831110170, enumerated as an "organization" on July 22, 2006.

The provider is located at 2630 GRANT LINE RD NEW ALBANY, IN 47150 and the phone number is (812) 945-0145.

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.