SCOTTSDALE ENDOSCOPY ASC LLC
NPI 1275292229
Clinic/Center - Ambulatory Surgical in Scottsdale, AZ

Q: What is Scottsdale Endoscopy ASC LLC's NPI number?

The NPI number for Scottsdale Endoscopy ASC LLC is 1275292229. It was assigned to this organization in the NPPES registry on December 16, 2021.

Q: What is Scottsdale Endoscopy ASC LLC's specialty?

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

Active since December 16, 2021CLIA 03D2030702 · Waiver

9787 N 91ST ST STE 103, SCOTTSDALE, AZ 85258(480) 657-0889 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 9, 2025, Nov 10, 2024, Dec 16, 2021 (3 updates tracked since 2021).

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About Scottsdale Endoscopy Asc Llc NPPES

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

SCOTTSDALE ENDOSCOPY ASC LLC (NPI 1275292229) is a healthcare organization registered as an ambulatory surgical in Scottsdale, Arizona and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1275292229

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSCOTTSDALE ENDOSCOPY ASC LLC

Location Address9787 N 91ST ST STE 103Scottsdale, AZ 85258-5088

Mailing Address9787 N 91st St Ste 103Scottsdale, AZ 85258-5088 · (480) 657-0889

Phone(480) 657-0889

Organization SubpartNo

Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269

Enumeration DateDecember 16, 2021

Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1275292229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

9787 N 91ST ST STE 103, Scottsdale, AZ 85258

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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 03D2030702

Scottsdale Endoscopy Center · Scottsdale, AZ

Active · expires Oct 3, 2027

CLIA Number03D2030702

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 4, 2025

Certificate Expiration DateOctober 3, 2027

Laboratory DirectorDaniel A. Meline

Laboratory Phone(480) 657-0889

Laboratory LocationScottsdale Endoscopy Center9787 N 91st Ste 103, Scottsdale, AZ 85258

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Biopsy of large bowel using a flexible endoscope 45380

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.

667 services665 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

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.

484 services465 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

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.

180 services177 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

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.

172 services171 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

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.

134 services134 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

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.

72 services72 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAND CANYON ANESTHESIA LLC

Anesthesiology

9787 N 91ST ST STE 103
SCOTTSDALE, AZ 85258

Maricopa County (480) 657-0889

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 Endoscopy ASC LLC's NPI number?

The NPI number for Scottsdale Endoscopy ASC LLC is 1275292229. It was assigned to this organization in the NPPES registry on December 16, 2021.

Where is Scottsdale Endoscopy ASC LLC located?

Scottsdale Endoscopy ASC LLC is located at 9787 N 91st St Ste 103, Scottsdale, AZ 85258. The listed phone number is (480) 657-0889.

What is Scottsdale Endoscopy ASC LLC's specialty?

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

Does Scottsdale Endoscopy ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2030702) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scottsdale Endoscopy ASC LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Scottsdale Endoscopy ASC 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 Scottsdale Endoscopy ASC LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.