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MICHIANA SURGERY CENTER, LLC
NPI 1942637301
Clinic/Center - Ambulatory Surgical in Mishawaka, IN

Active since October 01, 2013CLIA 15D2074392 · Waiver
3212 HICKORY RD, SUITE A, MISHAWAKA, IN 46545(574) 855-2223(574) 251-0068 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michiana Surgery Center, Llc NPPES

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

MICHIANA SURGERY CENTER, LLC (NPI 1942637301) is a healthcare organization registered as an ambulatory surgical in Mishawaka, Indiana and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Ajit V Pai, Owner, as its authorized official.

NPPES Registry Identity

NPI1942637301
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMICHIANA SURGERY CENTER, LLC
Location Address3212 HICKORY RD, SUITE AMishawaka, IN 46545-8862
Mailing Address3212 Hickory Rd, Suite AMishawaka, IN 46545-8862 · (574) 855-2223 · Fax (574) 251-0068
Phone(574) 855-2223
Fax(574) 251-0068
Organization SubpartNo
Authorized OfficialAjit V PaiOwner · (574) 855-2223
Enumeration DateOctober 1, 2013
Last NPPES UpdateNovember 14, 2013
✔ NPI 1942637301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3212 HICKORY RD, Mishawaka, IN 46545
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 15D2074392

Michiana Surgery Center, LLC · Mishawaka, IN
Active · expires Mar 6, 2028
CLIA Number15D2074392
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorShaan Khan
Laboratory Phone(574) 855-2223
Laboratory LocationMichiana Surgery Center, LLC3212 Hickory Rd, Ste A, Mishawaka, IN 46545
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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 anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
80 services56 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
73 services24 patients
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T
This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.
61 services58 patients
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.
52 services21 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
39 services35 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
33 services21 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AJIT V PAI MD
Pain Medicine (Interventional Pain Medicine)
3212 HICKORY RD, SUITE B
MISHAWAKA, IN 46545
St. Joseph County (574) 251-0498
ARMAN BORHAN MD
Physical Medicine & Rehabilitation (Pain Medicine)
3212 HICKORY RD, SUITE B
MISHAWAKA, IN 46545
St. Joseph County (574) 251-0498
DR. AJIT V PAI MD
Pain Medicine (Interventional Pain Medicine)
3212 HICKORY RD, SUITE B
MISHAWAKA, IN 46545
St. Joseph County (574) 251-0498

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 Michiana Surgery Center, LLC's NPI number?

The NPI number for Michiana Surgery Center, LLC is 1942637301. It was assigned to this organization in the NPPES registry on October 1, 2013.

Where is Michiana Surgery Center, LLC located?

Michiana Surgery Center, LLC is located at 3212 Hickory Rd Suite A, Mishawaka, IN 46545. The listed phone number is (574) 855-2223.

What is Michiana Surgery Center, LLC's specialty?

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

Does Michiana Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2074392) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michiana Surgery Center, LLC accept?

Health plans from CareSource list Michiana 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 Michiana Surgery Center, LLC was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.