Great Lakes Ambulatory Surgery Center
NPI 1023498219 · Ambulatory Surgical Clinic/Center · Mentor, OH
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Ambulatory Surgery Center is a Ambulatory Surgical Clinic/Center organization in Mentor, OH (NPI 1023498219).
Provider details
- NPI number
- 1023498219
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Great Lakes Pain Management
- Organization subpart
- Yes
- Authorized official
- Emad Mikhail, Owner(440) 306-2358
- License
- 35-075570 (OH)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
422 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 117 | $326 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 80 | $332 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 51 | $327 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 38 | $625 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 35 | $271 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-03
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Frequently asked questions
- What is Great Lakes Ambulatory Surgery Center's NPI number?
- Great Lakes Ambulatory Surgery Center's National Provider Identifier (NPI) is 1023498219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Ambulatory Surgery Center?
- Great Lakes Ambulatory Surgery Center is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Lakes Ambulatory Surgery Center located?
- Great Lakes Ambulatory Surgery Center's practice location on file with NPPES is 9002 Mentor Ave Ste B, Mentor, OH 44060-6302.
- What is Great Lakes Ambulatory Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Ambulatory Surgery Center is (440) 283-0244.
- Does Great Lakes Ambulatory Surgery Center accept Medicare?
- Great Lakes Ambulatory Surgery Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Ambulatory Surgery Center?
- The authorized official listed on Great Lakes Ambulatory Surgery Center's NPPES record is Emad Mikhail, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Ambulatory Surgery Center's NPI active?
- Yes — Great Lakes Ambulatory Surgery Center's NPI (1023498219) is active in the NPPES registry as of the last update on 2026-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.