EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC
NPI 1265495451
Clinic/Center - Ambulatory Surgical in Albany, NY

NPI Status: Active since April 10, 2006

Contact Information

3 ATRIUM DR
SUITE 150
ALBANY, NY
ZIP 12205
Phone: (518) 453-2361
Fax: (518) 453-1594

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 33D0974859
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Executive Woods Ambulatory Surgery Center Llc, a provider established in Albany, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1265495451 assigned on April 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 0101219R (NY). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kyle R. Flik Md (Medical Director)

NPI
1265495451
Provider Name
EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC
Entity Type
Organization
Location Address
3 ATRIUM DR SUITE 150 ALBANY, NY 12205
Location Phone
(518) 453-2361
Location Fax
(518) 453-1594
Mailing Address
3 ATRIUM DR SUITE 150 ALBANY, NY 12205
Mailing Phone
(518) 453-2361
Mailing Fax
(518) 453-1594
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2006
Last Update Date
07-23-2025
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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.
0101219R
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KYLE R. FLIK MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(518) 453-2361

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000401075000OTHER (01)NYBSNENY PROVIDER NUMBER
10043997OTHER (01)NYCDPHP PROVIDER NUMBER
02107211MEDICAID (05)NY 
014594OTHER (01)NYEMPIRE BC PROVIDER NUMBER
1488OTHER (01)NYMVP PROVIDER NUMBER

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.

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 25 times for 16 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 67 times for 34 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 19 times for 14 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 61 times for 47 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

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.

This service was performed 22 times for 14 patients

Partial removal of collar bone at shoulder using an endoscope

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

This service was performed 12 times for 12 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 93 times for 81 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

This service was performed 20 times for 20 patients

Relocation of tendon of forearm and/or wrist

Relocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.

This service was performed 11 times for 11 patients

Removal of bone joints between wrist and fingers

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

This service was performed 13 times for 13 patients

Removal of extensive shoulder joint tissue using an endoscope

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

This service was performed 15 times for 15 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 49 times for 49 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
33D0974859
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 20, 2000
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. ADAM G. SUSLAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Executive Woods Ambulatory Surgery Center Llc 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 1265495451, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
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 6 → 12 → 3 4 → 8 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 8 + 9 + 1 + 0 + 4 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1265495451.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
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ALBANY, NY 12205
Physician Assistant (Surgical)
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ALBANY, NY 12205
Physician Assistant (Surgical)
3 ATRIUM DR
ALBANY, NY 12205
Clinic/Center (Physical Therapy)
3 ATRIUM DR, SUITE 110
ALBANY, NY 12205
Dentist (General Practice)
3 ATRIUM DR, SUITE 215
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Physical Therapist
3 ATRIUM DR, SUITE 110
ALBANY, NY 12205
Ophthalmology
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Social Worker (Clinical)
3 ATRIUM DR, SUITE 202
ALBANY, NY 12205
Ophthalmology
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Ophthalmology
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Marriage & Family Therapist
3 ATRIUM DR, STE 202
ALBANY, NY 12205
Eyewear Supplier
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Ophthalmology (Retina Specialist)
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Ophthalmology (Glaucoma Specialist)
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Ophthalmology (Neuro-ophthalmology)
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Radiology (Diagnostic Radiology)
3 ATRIUM DR
ALBANY, NY 12205
Orthopaedic Surgery
3 ATRIUM DR, SUITE 130
ALBANY, NY 12205
Ophthalmology (Glaucoma Specialist)
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Ophthalmology (Retina Specialist)
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Optometrist
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265495451, enumerated as an "organization" on April 10, 2006.

The provider is located at 3 ATRIUM DR SUITE 150 ALBANY, NY 12205 and the phone number is (518) 453-2361.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.