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PRIME SURGERY CENTER
NPI 1881319127
Clinic/Center - Ambulatory Surgical in Indianapolis, IN

Active since October 10, 2022CLIA 15D2271219 · Waiver
4715 STATESMEN DR STE A, INDIANAPOLIS, IN 46250(317) 932-3411 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Oct 10, 2022 (2 updates tracked since 2022).

About Prime Surgery Center NPPES

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

PRIME SURGERY CENTER (NPI 1881319127) is a healthcare organization registered as an ambulatory surgical in Indianapolis, Indiana and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Samiullah Kundi, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1881319127
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRIME SURGERY CENTER
Location Address4715 STATESMEN DR STE AIndianapolis, IN 46250-1997
Mailing Address4715 Statesmen Dr., Suite AIndianapolis, IN 46250-1997 · (317) 932-3411
Phone(317) 932-3411
Organization SubpartNo
Authorized OfficialSamiullah KundiMedical Director/owner · (405) 408-6154
Enumeration DateOctober 10, 2022
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1881319127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4715 STATESMEN DR STE A, Indianapolis, IN 46250
Open in Google Maps ↗

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 15D2271219

Prime Surgery Center · Indianapolis, IN
Active · expires Oct 30, 2026
CLIA Number15D2271219
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorSamiullah Kundi
Laboratory Phone(317) 932-3411
Laboratory LocationPrime Surgery Center4715 Statesman Drive, Suite A, Indianapolis, IN 46250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
34 services13 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
26 services12 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.

UAA INDAE LLC
Clinic/Center (Ambulatory Surgical)
4715 STATESMEN DR STE A
INDIANAPOLIS, IN 46250
Marion County (317) 643-5865

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 Prime Surgery Center's NPI number?

The NPI number for Prime Surgery Center is 1881319127. It was assigned to this organization in the NPPES registry on October 10, 2022.

Where is Prime Surgery Center located?

Prime Surgery Center is located at 4715 Statesmen Dr Ste A, Indianapolis, IN 46250. The listed phone number is (317) 932-3411.

What is Prime Surgery Center's specialty?

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

Does Prime Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2271219) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Surgery Center accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Prime Surgery Center 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 Prime Surgery Center was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.