BLOOMINGTON ASC LLC NPI 1356764484

NPI Information

  • NPI: 1356764484
  • Provider Name: BLOOMINGTON ASC, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: INDIANA SPECIALTY SURGERY CENTER
  • Address: 1380 W ARCH HAVEN AVE
    BLOOMINGTON, IN
    ZIP 47403
  • Phone: (812) 330-1164

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NPI Details

BLOOMINGTON ASC, LLC is an ambulatory surgical clinic center in Bloomington, IN. BLOOMINGTON ASC, LLC NPI is 1356764484. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Specialty Surgery Center.

The provider's business location address is:

1380 W ARCH HAVEN AVE
BLOOMINGTON, IN
ZIP 47403-055
Phone: (812) 330-1164
Fax: (812) 332-5102

The provider's authorized official is Peter Blach .
The authorized official title is Officer/authorized Official and has the following contact phone number (713) 343-0832.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)

The enumeration date for this NPI number is 1/24/2014 and was last updated on 10/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical14-011996-1INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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