Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
NPI 1992395388 · Ambulatory Surgical Clinic/Center · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Fort Wayne, IN (NPI 1992395388).
Provider details
- NPI number
- 1992395388
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erin Kousagan, Executive Director(504) 220-8912
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
5 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
371 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) |
|---|---|---|
| Repair of Tendon of Upper Eyelid67904 | 116 | $709 |
| Removal of Excessive Skin and Fat of Upper Eyelid15823 | 71 | $672 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 33 | $585 |
| Removal of Membrane of Retina With Removal of Internal Limiting Membrane of Retina67042 | 27 | $1,985 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 24 | $519 |
| Probing of Nasal Tear Duct With Insertion of Tube Or Stent68815 | 23 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Iu Health Surgery Center Fort Wayne
- Doing business as
- Iu Health Surgery Center on Aboite Road
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's NPI number?
- Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's National Provider Identifier (NPI) is 1992395388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC?
- Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC located?
- Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's practice location on file with NPPES is 4105 Dicke Road, Fort Wayne, IN 46804.
- What is Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC is (317) 201-1038.
- Does Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC accept Medicare?
- Iu Health Southwest Fort Wayne Ambulatory Surgery Center 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 Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC?
- The authorized official listed on Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's NPPES record is Erin Kousagan, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's NPI active?
- Yes — Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC's NPI (1992395388) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.