Digestive Disease Center of Central New York, LLC
NPI 1053505511 · Ambulatory Surgical Clinic/Center · Liverpool, NY
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Digestive Disease Center of Central New York, LLC is a Ambulatory Surgical Clinic/Center organization in Liverpool, NY (NPI 1053505511).
Provider details
- NPI number
- 1053505511
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laureen Keegan, Administrator(315) 410-7400
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
18 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
2,186 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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 673 | $315 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 444 | $591 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 340 | $518 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 269 | $462 |
| Dilation of Esophagus43450 | 209 | $390 |
| Diagnostic Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2015-08-25
Frequently asked questions
- What is Digestive Disease Center of Central New York, LLC's NPI number?
- Digestive Disease Center of Central New York, LLC's National Provider Identifier (NPI) is 1053505511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Digestive Disease Center of Central New York, LLC?
- Digestive Disease Center of Central New York, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Digestive Disease Center of Central New York, LLC located?
- Digestive Disease Center of Central New York, LLC's practice location on file with NPPES is 5112 W Taft Rd, Liverpool, NY 13088-4868.
- What is Digestive Disease Center of Central New York, LLC's phone number?
- The practice phone number listed in the NPPES registry for Digestive Disease Center of Central New York, LLC is (315) 410-7400.
- Does Digestive Disease Center of Central New York, LLC accept Medicare?
- Digestive Disease Center of Central New York, LLC 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 Digestive Disease Center of Central New York, LLC?
- The authorized official listed on Digestive Disease Center of Central New York, LLC's NPPES record is Laureen Keegan, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Digestive Disease Center of Central New York, LLC's NPI active?
- Yes — Digestive Disease Center of Central New York, LLC's NPI (1053505511) is active in the NPPES registry as of the last update on 2015-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.