DECATUR AMBULATORY SURGERY CENTER
NPI 1487018412
Anesthesiology in Decatur, AL

Active since April 06, 2016CLIA 01D0968274 · Waiver
2828 HIGHWAY 31 S, DECATUR, AL 35603(256) 340-1212(256) 340-0252 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Decatur Ambulatory Surgery Center NPPES

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

DECATUR AMBULATORY SURGERY CENTER (NPI 1487018412) is a healthcare organization registered as an anesthesiology in Decatur, Alabama and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Babu Kantamneni, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1487018412
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameDECATUR AMBULATORY SURGERY CENTER
Location Address2828 HIGHWAY 31 SDecatur, AL 35603-1510
Mailing Address2828 Highway 31 SDecatur, AL 35603-1510 · (256) 340-1212 · Fax (256) 340-0252
Fax(256) 340-0252
Organization SubpartNo
Authorized OfficialBabu KantamneniAuthorized Official · (256) 340-1212
Enumeration DateApril 6, 2016
✔ NPI 1487018412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2828 HIGHWAY 31 S, Decatur, AL 35603

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)

Decatur Ambulatory Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Decatur Ambulatory Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Anesthesiology
NPI 1396862629
2828 HIGHWAY 31 S
Decatur, AL 35603
(256) 340-1212
✔ PECOS✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1760452072
2208 DANVILLE RD SW STE G
Decatur, AL 35601
(256) 301-9994
✔ PECOS✔ Accepts Medicare2.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538606660
250 CHATEAU DR SW STE 110
Huntsville, AL 35801
(256) 469-7895
✔ Accepts Medicare25 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649694654
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-3550
✔ Accepts Medicare1,584 mi

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

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 01D0968274

Decatur Ambulatory Surgery Center · Decatur, AL
Active · expires Dec 7, 2027
CLIA Number01D0968274
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorRaju Danthuluri MD
Laboratory Phone(256) 340-1212
Laboratory LocationDecatur Ambulatory Surgery Center2828 Hwy 31 So, Decatur, AL 35603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Decatur Ambulatory Surgery Center's NPI number?

The NPI number for Decatur Ambulatory Surgery Center is 1487018412. It was assigned to this organization in the NPPES registry on April 6, 2016.

Where is Decatur Ambulatory Surgery Center located?

Decatur Ambulatory Surgery Center is located at 2828 Highway 31 S, Decatur, AL 35603. The listed phone number is (256) 340-1212.

What is Decatur Ambulatory Surgery Center's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Decatur Ambulatory Surgery Center enrolled in Medicare?

Yes. Decatur Ambulatory Surgery Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Decatur Ambulatory Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Decatur Ambulatory Surgery Center, in Anesthesiology and Certified Registered Nurse Anesthetist (CRNA). 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Decatur Ambulatory Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0968274) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Decatur Ambulatory Surgery Center was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.