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SURGCENTER NORTHERN PHOENIX LLC
NPI 1265009005
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Active since June 09, 2021CLIA 03D2228048 · Waiver
2611 W CAREFREE HWY BLDG E, PHOENIX, AZ 85085(143) 575-7889 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Jun 9, 2021 (2 updates tracked since 2021).

About Surgcenter Northern Phoenix Llc NPPES

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

SURGCENTER NORTHERN PHOENIX LLC (NPI 1265009005) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Keven Burns, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265009005
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGCENTER NORTHERN PHOENIX LLC
Location Address2611 W CAREFREE HWY BLDG EPhoenix, AZ 85085-8862
Mailing Address18 Road 3336Aztec, NM 87410-9101 · (435) 757-8894
Phone(143) 575-7889
Organization SubpartNo
Authorized OfficialKeven BurnsCeo · (480) 747-1321
Enumeration DateJune 9, 2021
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1265009005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2611 W CAREFREE HWY BLDG E, Phoenix, AZ 85085
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2228048

Surgcenter Northern Phoenix, LLC · Phoenix, AZ
Active · expires Jun 20, 2027
CLIA Number03D2228048
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorBryan Lee
Laboratory Phone(623) 213-8906
Laboratory LocationSurgcenter Northern Phoenix, LLC2611 W Carefree Hwy Bldg E, Phoenix, AZ 85085
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
89 services57 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
41 services15 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
34 services33 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
30 services29 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
24 services14 patients
Removal of spine bone for insertion of neurostimulator electrode plate in spine 63655
This procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.
18 services18 patients

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 Surgcenter Northern Phoenix LLC's NPI number?

The NPI number for Surgcenter Northern Phoenix LLC is 1265009005. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Surgcenter Northern Phoenix LLC located?

Surgcenter Northern Phoenix LLC is located at 2611 W Carefree Hwy Bldg E, Phoenix, AZ 85085. The listed phone number is (143) 575-7889.

What is Surgcenter Northern Phoenix LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgcenter Northern Phoenix LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2228048) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgcenter Northern Phoenix LLC accept?

Health plans from UnitedHealthcare list Surgcenter Northern Phoenix LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgcenter Northern Phoenix LLC was last updated on February 5, 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.