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IU HEALTH SOUTHWEST FORT WAYNE AMBULATORY SURGERY CENTER LLC
NPI 1992395388
Clinic/Center - Ambulatory Surgical in Fort Wayne, IN

Active since January 20, 2021
4105 DICKE ROAD, FORT WAYNE, IN 46804(317) 201-1038 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Mar 24, 2023, Jan 20, 2021 (3 updates tracked since 2021).

About Iu Health Southwest Fort Wayne Ambulatory Surgery Center Llc NPPES

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

IU HEALTH SOUTHWEST FORT WAYNE AMBULATORY SURGERY CENTER LLC (NPI 1992395388), doing business as Iu Health Surgery Center Fort Wayne, is a healthcare organization registered as an ambulatory surgical in Fort Wayne, Indiana and active in the NPI registry since January 2021. The organization lists Erin Kousagan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992395388
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameIU HEALTH SOUTHWEST FORT WAYNE AMBULATORY SURGERY CENTER LLC
Location Address4105 DICKE ROADFort Wayne, IN 46804
Mailing Address950 N Meridian St Ste 910Indianapolis, IN 46204-1077 · (317) 805-2247
Phone(317) 201-1038
Organization SubpartNo
Authorized OfficialErin KousaganExecutive Director · (504) 220-8912
Enumeration DateJanuary 20, 2021
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1992395388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4105 DICKE ROAD, Fort Wayne, IN 46804
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Other Names 2

Doing Business AsIu Health Surgery Center Fort Wayne
Doing Business AsIu Health Surgery Center On Aboite Road

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 ›

Areas of Expertise CMS Part B claims 11

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.
116 services61 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
71 services36 patients
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.
33 services33 patients
Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
27 services25 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.
24 services24 patients
Probing of nasal tear duct with insertion of tube or stent 68815
This procedure treats blocked tear ducts. A thin probe is gently inserted into the tear duct to clear any blockage. Afterwards, a small tube or stent is placed to keep the pathway open, allowing tears to drain normally again.
23 services13 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 Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's NPI number?

The NPI number for Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC is 1992395388. It was assigned to this organization in the NPPES registry on January 20, 2021. The provider is doing business as IU Health Surgery Center Fort Wayne and IU Health Surgery Center on Aboite road.

Where is Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC located?

Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC is located at 4105 Dicke Road, Fort Wayne, IN 46804. The listed phone number is (317) 201-1038.

What is Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's specialty?

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

What insurance does Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Iu Health Southwest Fort Wayne Ambulatory 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 Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.