BROADWEST SPECIALTY SURGICAL CENTER, LLC
NPI 1770532194
Clinic/Center - Ambulatory Surgical in Merrillville, IN

NPI Status: Active since May 10, 2006

Contact Information

315 W 89TH AVENUE
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 757-5275
Fax: (219) 757-5292

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 15D1073801
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-16-2025

About BROADWEST SPECIALTY SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Broadwest Specialty Surgical Center, Llc, a provider established in Merrillville, Indiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1770532194 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Vijay K. Gupta M.d. (President/ceo)

NPI
1770532194
Provider Name
BROADWEST SPECIALTY SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
315 W 89TH AVENUE MERRILLVILLE, IN 46410
Location Phone
(219) 757-5275
Location Fax
(219) 757-5292
Mailing Address
315 W 89TH AVENUE MERRILLVILLE, IN 46410
Mailing Phone
(219) 757-5275
Mailing Fax
(219) 757-5292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2006
Last Update Date
07-01-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIJAY K. GUPTA M.D.

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(219) 757-5275

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00412907MEDICARE PIN (08)IN 
6026210001MEDICARE NSC (07)IN 
ZH8000MEDICARE PIN (08)IN 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 13 times for 12 patients

Correction of bunion

A bunion correction is a surgical procedure to realign the bone, ligaments, tendons, and nerves so your big toe can be brought back to its correct position. This procedure reduces foot pain and improves balance and foot function.

This service was performed 12 times for 12 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 52 times for 37 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

This service was performed 32 times for 12 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

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.

This service was performed 18 times for 13 patients

Probing of nasal tear duct with insertion of tube or stent

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.

This service was performed 27 times for 19 patients

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm

This procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.

This service was performed 17 times for 16 patients

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm

This procedure involves the careful removal of a cancerous growth on the face, including areas like the ears, eyelids, nose, lips, or mouth. The size of the growth is between 3.1 and 4.0 cm. The aim is to eliminate cancer cells while preserving surrounding healthy tissue.

This service was performed 13 times for 11 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 12 times for 12 patients

Repair of tendon of upper eyelid

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.

This service was performed 81 times for 45 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

This service was performed 13 times for 12 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D1073801
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 17, 2023
Certificate Expiration Date
September 16, 2025
Laboratory Director
SAVEEN KONDAMURI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Broadwest Specialty Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770532194
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401034118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 0 + 3 + 4 + 1 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1770532194 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770532194, enumerated in the NPI registry as an "organization" on May 10, 2006

The provider is located at 315 W 89th Avenue Merrillville, In 46410 and the phone number is (219) 757-5275

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Correction of bunion, Correction of toe joint deformity, Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, Probing of nasal tear duct with insertion of tube or stent, Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm, Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm, Removal of knee cartilage using an endoscope, Repair of tendon of upper eyelid and Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less.

The provider's CLIA number is 15D1073801 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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