MCALESTER AMBULATORY SURGERY CENTER, LLC
NPI 1487644506
Clinic/Center - Ambulatory Surgical in Mcalester, OK

Active since October 28, 2005CLIA 37D0987175 · Waiver
4 E CLARK BASS BLVD, MCALESTER, OK 74501(918) 421-6700(918) 421-6777 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mcalester Ambulatory Surgery Center, Llc NPPES

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

MCALESTER AMBULATORY SURGERY CENTER, LLC (NPI 1487644506) is a healthcare organization registered as an ambulatory surgical in Mcalester, Oklahoma and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists David Keith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487644506
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMCALESTER AMBULATORY SURGERY CENTER, LLC
Location Address4 E CLARK BASS BLVDMcalester, OK 74501-4269
Mailing AddressPo Box 966Mcalester, OK 74502-0966 · (918) 421-6700 · Fax (918) 421-6777
Fax(918) 421-6777
Organization SubpartNo
Authorized OfficialDavid KeithCeo · (918) 426-1800
Enumeration DateOctober 28, 2005
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1487644506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OK · 0068
4 E CLARK BASS BLVD, Mcalester, OK 74501

Other Identifiers 3

Other000371048-001OK · Blue Cross/blue Shield
Other175753300OK · Department Of Labor - Wc
Medicaid100748940AOK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcalester Ambulatory Surgery Center, Llc 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 Mcalester Ambulatory Surgery Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

General Surgery
NPI 1376512442
519 N MAIN ST
Bristow, OK 74010
(918) 701-2365
✔ PECOS✔ Accepts Medicare71 mi
General Surgery
NPI 1548201288
1500 E. DOWNING #102
Tahlequah, OK 74464
(918) 207-1189
✔ PECOS✔ Accepts Medicare81 mi
Podiatry
NPI 1265413694
2100 W IOWA AVE
Chickasha, OK 73018
(405) 224-2100
✔ PECOS✔ Accepts Medicare126 mi
General Surgery
NPI 1972561827
2237 KEYSTONE CIR
Andover, KS 67002
(316) 616-6272
✔ PECOS208 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 37D0987175

Mcalester Ambulatory Surgery Center · Mcalester, OK
Active · expires May 29, 2027
CLIA Number37D0987175
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorJohn Martin Hayes
Laboratory Phone(918) 426-1800
Laboratory LocationMcalester Ambulatory Surgery Center4 Clark Bass Blvd, Mcalester, OK 74501
CLIA data matches this NPI record on: 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 Mcalester Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Mcalester Ambulatory Surgery Center, LLC is 1487644506. It was assigned to this organization in the NPPES registry on October 28, 2005.

Where is Mcalester Ambulatory Surgery Center, LLC located?

Mcalester Ambulatory Surgery Center, LLC is located at 4 E Clark Bass Blvd, Mcalester, OK 74501. The listed phone number is (918) 421-6700.

What is Mcalester Ambulatory Surgery Center, LLC's specialty?

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

Is Mcalester Ambulatory Surgery Center, LLC enrolled in Medicare?

Yes. Mcalester Ambulatory Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mcalester Ambulatory Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mcalester Ambulatory Surgery Center, LLC. 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. The largest specialties are General Surgery (3) and Podiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mcalester Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0987175) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mcalester Ambulatory Surgery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Mcalester Ambulatory Surgery Center, 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 Mcalester Ambulatory Surgery Center, LLC was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.