NEW MEXICO SURGERY CENTER MULTI-SPECIALTY
NPI 1104468602
Clinic/Center - Ambulatory Surgical in Albuquerque, NM

NPI Status: Active since October 16, 2019

Contact Information

201 CEDAR ST, SUITE 7650
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 357-3554

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 32D2177495
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-12-2028

About NEW MEXICO SURGERY CENTER MULTI-SPECIALTY

This page provides the complete NPI Profile along with additional information for New Mexico Surgery Center Multi-specialty, a provider established in Albuquerque, New Mexico operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104468602 assigned on October 2019. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as New Mexico Surgery Center Multi-specialty. The authorized official of this NPI record is Eric Boon (Officer/ao)

NPI
1104468602
Provider Legal Name
PRESBYTERIAN HOSPITAL ASC
Other Organization Name
NEW MEXICO SURGERY CENTER MULTI-SPECIALTY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
201 CEDAR ST, SUITE 7650 ALBUQUERQUE, NM 87106
Location Phone
(505) 357-3554
Mailing Address
201 CEDAR ST, SUITE 7650 ALBUQUERQUE, NM 87106
Mailing Phone
(505) 357-3554
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-16-2019
Last Update Date
09-13-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC BOON

Authorized Official Title
OFFICER/AO
Authorized Official Phone
(480) 567-0269

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope

This procedure examines your upper airway for sleep-related breathing issues. An endoscope, a thin tube with a light and camera, is gently inserted through your nose. This allows a detailed view of your airway to identify any abnormalities that could disrupt your sleep.

This service was performed 11 times for 11 patients

Partial removal of breast

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

This service was performed 12 times for 11 patients

Removal or exploration of parathyroid glands

The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.

This service was performed 11 times for 11 patients

Reshaping of nasal cartilage

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

This service was performed 11 times for 11 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D2177495
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 13, 2026
Certificate Expiration Date
January 12, 2028
Laboratory Director
GEROLD J. BLAZEK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New Mexico Surgery Center Multi-specialty to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104468602, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 6 + 1 + 6 + 6 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104468602.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104468602, enumerated as an "organization" on October 16, 2019.

The provider is located at 201 CEDAR ST, SUITE 7650 ALBUQUERQUE, NM 87106 and the phone number is (505) 357-3554.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.