GATEWAY SURGERY CENTER LLC
NPI 1871804815
Clinic/Center - Ambulatory Surgical in Edwardsville, PA

Active since June 24, 2010CLIA 39D1067509 · Waiver
494 NORTHAMPTON ST, SUITE 2, EDWARDSVILLE, PA 18704(570) 718-6692(570) 718-6696 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gateway Surgery Center Llc NPPES

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

GATEWAY SURGERY CENTER LLC (NPI 1871804815) is a healthcare organization registered as an ambulatory surgical in Edwardsville, Pennsylvania and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Jonathan Bailey, Officer/ao, as its authorized official.

NPPES Registry Identity

NPI1871804815
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGATEWAY SURGERY CENTER LLC
Location Address494 NORTHAMPTON ST, SUITE 2Edwardsville, PA 18704-4551
Mailing Address494 Northampton St Ste 2Edwardsville, PA 18704-4551
Fax(570) 718-6696
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/ao · (203) 609-1168
Enumeration DateJune 24, 2010
Last NPPES UpdateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1871804815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X

Accepted 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 39D1067509

Gateway Surgery Center LLC · Edwardsville, PA
Active · expires Apr 18, 2027
CLIA Number39D1067509
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorDr. Charles J. Scrobola
Laboratory Phone(570) 288-8100
Laboratory LocationGateway Surgery Center LLC494 Northampton St Suite 2, Edwardsville, PA 18704
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 18

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
732 services725 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
514 services493 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
496 services490 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
129 services108 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
127 services127 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
123 services123 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 Gateway Surgery Center LLC's NPI number?

The NPI number for Gateway Surgery Center LLC is 1871804815. It was assigned to this organization in the NPPES registry on June 24, 2010.

Where is Gateway Surgery Center LLC located?

Gateway Surgery Center LLC is located at 494 Northampton St Suite 2, Edwardsville, PA 18704. The listed phone number is (570) 718-6692.

What is Gateway Surgery Center LLC's specialty?

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

Does Gateway Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1067509) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gateway Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 3 other insurers list Gateway Surgery 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 Gateway Surgery Center LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.