HENDERSON SURGERY CENTER
NPI 1174716708
Clinic/Center - Ambulatory Surgical in Henderson, NV

Active since August 27, 2007CLIA 29D1070347 · Waiver
1110 WIGWAM PKWY, SUITE 105, HENDERSON, NV 89074(702) 921-6829(702) 921-6828 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 29D1070347
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-25-2027

About HENDERSON SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Henderson Surgery Center, a provider established in Henderson, Nevada operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174716708 assigned on August 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 743038 (NV). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Rajat Sood Md (Managing Member)

NPI
1174716708 Verify this NPI
Provider Name
HENDERSON SURGERY CENTER
Entity Type
Organization
Location Address
1110 WIGWAM PKWY SUITE 105 HENDERSON, NV 89074
Location Phone
(702) 921-6829
Location Fax
(702) 921-6828
Mailing Address
1110 WIGWAM PKWY SUITE 105 HENDERSON, NV 89074
Mailing Phone
(702) 921-6829
Mailing Fax
(702) 921-6828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2007
Last Update Date
01-07-2008
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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
License No.
743038
License State
NV

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

RAJAT SOOD MD

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(702) 921-6829

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 157 times for 155 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 102 times for 102 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 69 times for 69 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 38 times for 38 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 91 times for 90 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 14 times for 14 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 61 times for 61 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
29D1070347
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 26, 2025
Certificate Expiration Date
June 25, 2027
Laboratory Director
NOEL S. YUMIACO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Henderson Surgery Center 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.

Reviews for HENDERSON SURGERY CENTER

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174716708, enumerated as an "organization" on August 27, 2007.

The provider is located at 1110 WIGWAM PKWY SUITE 105 HENDERSON, NV 89074 and the phone number is (702) 921-6829.

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