SOUTH BEND IN ENDOSCOPY ASC LLC NPI 1427051796

NPI Information

  • NPI: 1427051796
  • Provider Name: SOUTH BEND IN ENDOSCOPY ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MICHIANA ENDOSCOPY CENTER
  • Address: 53830 GENERATIONS DR
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 271-0893

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NPI Details

SOUTH BEND IN ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in South Bend, IN. SOUTH BEND IN ENDOSCOPY ASC LLC NPI is 1427051796. The provider is registered as an organization entity type.
The provider Is Doing Business As Michiana Endoscopy Center.

The provider's business location address is:

53830 GENERATIONS DR
SOUTH BEND, IN
ZIP 46635-557
Phone: (574) 271-0893
Fax: (574) 271-4362

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

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.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43252)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 5/31/2005 and was last updated on 6/28/2022.

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
1261QE0800XClinic/CenterEndoscopy010076INDIANANo
2261QA1903XClinic/CenterAmbulatory Surgical17-009761-1INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000098200OTHERINDIANABLUE CROSS INDIANA
2200156540MEDICAIDINDIANA

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: 3/30/2025

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