Pediatric Surgical Associates Inc
NPI 1790880292ActiveOrganization· Surgery, Pediatric Surgery· Indianapolis, IN
Surgery, Pediatric Surgery in Indianapolis, Indiana, registered in NPPES in September 2006. The authorized official on file is Todd A. Williams, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790880292 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2006 |
| Last updated in NPPES | Jul 26, 2024 |
| Certified by provider | Jul 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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