Organization provider

WEST LAKES SURGERY CENTER LLC

Ambulatory Surgical Clinic/Center Medicare enrolled

WEST LAKES SURGERY CENTER LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104933696, based in Clive, IA. It is classified under Ambulatory Surgical Clinic/Center.

Getting there

The practice address on file is 12499 UNIVERSITY AVE SUITE 100, Clive, IA 50325. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12499 UNIVERSITY AVE SUITE 100, Clive, IA 50325 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
NA Ambulatory Surgical Clinic/Center primary

Licences are recorded in 0 states: . Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Ambulatory Surgical Center
PAC ID
0345248118

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Ambulatory Surgical Center. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Ambulatory Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QA1903X
Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104933696 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 23, 2006
Last updatedJun 4, 2020
StatusActive
Practice address 12499 UNIVERSITY AVE
SUITE 100
Clive, IA 50325
(515) 974-5050
Mailing address 2808 S INGRAM MILL RD BUILDING B
Springfield, MO 65804
Other identifiers 0610352 (IA)
61026 · FEDERAL EMPLOYEES HEALTH (IA)
F252394 · CARPENTERS DISTRICT COUN (IA)
F252394 · CIGNA (IA)
61026 · WELLMARK BCBS (IA)
F252394 · MIDLANDS AETNA (IA)
61026 · WELLMARK HEALTH PLANS IA (IA)
The last update on file is Jun 4, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104933696 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 3 3 6 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 3 6 6 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104933696?
NPI 1104933696 is the National Provider Identifier assigned to WEST LAKES SURGERY CENTER LLC in Clive, IA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Ambulatory Surgical cover?
Definition to come...
How do I contact WEST LAKES SURGERY CENTER LLC?
The phone number on file with NPPES is (515) 974-5050, last updated Jun 4, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does WEST LAKES SURGERY CENTER LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104933696 a valid number?
Yes. 1104933696 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.