RIVERVIEW SURGERY CENTER LLC NPI 1669748125

NPI Information

  • NPI: 1669748125
  • Provider Name: RIVERVIEW SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 15D2041154
  • Address: 1276 N PLAZA DR
    ROCKPORT, IN
    ZIP 47635
  • Phone: (812) 649-2500

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NPI Details

RIVERVIEW SURGERY CENTER LLC is an ambulatory surgical clinic center in Rockport, IN. RIVERVIEW SURGERY CENTER LLC NPI is 1669748125. The provider is registered as an organization entity type.

The provider's business location address is:

1276 N PLAZA DR
ROCKPORT, IN
ZIP 47635
Phone: (812) 649-2500
Fax: (812) 649-9427

The provider's authorized official is Shane David Boles .
The authorized official title is Md and has the following contact phone number (812) 644-2500.

The CLIA number assigned to this NPI record is 15D2041154 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Correction of toe joint deformity (HCPCS:28285)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Amputation of toe at joint between forefoot and toes (HCPCS:28820)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)

The enumeration date for this NPI number is 3/29/2012 and was last updated on 2/5/2014.

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 SurgicalYes

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
1IN1196MEDICARE PININDIANA

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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