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SCOTTSDALE SURGICAL SOLUTIONS PC
NPI 1255869921
Clinic/Center - Medical Specialty in Scottsdale, AZ

Active since May 25, 2017
20401 N 73RD ST STE 155, SCOTTSDALE, AZ 85255(480) 772-2453(480) 774-3255 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2024, Jul 21, 2022, May 25, 2017 (3 updates tracked since 2017).

About Scottsdale Surgical Solutions Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTTSDALE SURGICAL SOLUTIONS PC (NPI 1255869921) is a healthcare organization registered as a medical specialty in Scottsdale, Arizona and active in the NPI registry since May 2017. The organization lists Kelly Connors, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1255869921
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSCOTTSDALE SURGICAL SOLUTIONS PC
Location Address20401 N 73RD ST STE 155Scottsdale, AZ 85255-4149
Mailing Address3104 E Camelback Rd # 1035Phoenix, AZ 85016-4502 · (480) 772-2453 · Fax (480) 774-3255
Phone(480) 772-2453
Fax(480) 774-3255
Organization SubpartNo
Authorized OfficialKelly ConnorsOffice Manager · (480) 772-2453
Enumeration DateMay 25, 2017
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1255869921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedSurgeryTaxonomy 208600000X
20401 N 73RD ST STE 155, Scottsdale, AZ 85255
Open in Google Maps ↗

Other Identifiers 1

Other1013541507AZ · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scottsdale Surgical Solutions Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scottsdale Surgical Solutions PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Keith Zacher, MD
General Surgery
NPI 1326029026
5080 N0RTH 40ST SUITE 103
Phoenix, AZ 85018
(480) 772-2453
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scottsdale Surgical Solutions PC's NPI number?

The NPI number for Scottsdale Surgical Solutions PC is 1255869921. It was assigned to this organization in the NPPES registry on May 25, 2017.

Where is Scottsdale Surgical Solutions PC located?

Scottsdale Surgical Solutions PC is located at 20401 N 73rd St Ste 155, Scottsdale, AZ 85255. The listed phone number is (480) 772-2453.

What is Scottsdale Surgical Solutions PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Scottsdale Surgical Solutions PC enrolled in Medicare?

Yes. Scottsdale Surgical Solutions PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scottsdale Surgical Solutions PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Scottsdale Surgical Solutions PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scottsdale Surgical Solutions PC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.