Granger Surgery Center LLC
Clinic/Center, Ambulatory Surgical in Granger, IN. Organization (NPI-2).
NPI number1215675111
StatusActive
Last updated in NPPESFeb 12, 2026
Details
- NPI
- 1215675111
- Entity type
- Organization (NPI-2)
- Legal business name
- Granger Surgery Center LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2022
- Certification date
- Feb 12, 2026
- Last updated
- Feb 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Other names
- Granger Surgery Center (Doing Business As)
Practice location
51050 Bittersweet Rd Ste AGranger, IN 46530-7879
Phone 718-208-0446 · Fax 574-244-0240
Mailing address
51050 Bittersweet Rd Ste AGranger, IN 46530-7879
Phone 574-228-5440 · Fax 574-290-1919
Authorized official
Kristina Music
Director Of Provider Enrollment
6154657377
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