AZURA SURGERY CENTER NORTHERN NEVADA
NPI 1578077103
Clinic/Center - Ambulatory Surgical in Reno, NV

NPI Status: Active since November 17, 2017

Contact Information

932 RYLAND ST
RENO, NV
ZIP 89502
Phone: (775) 853-4166

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 29D2149692
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-07-2028

About AZURA SURGERY CENTER NORTHERN NEVADA

This page provides the complete NPI Profile along with additional information for Azura Surgery Center Northern Nevada, a provider established in Reno, Nevada operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1578077103 assigned on November 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Azura Surgery Center Northern Nevada. The authorized official of this NPI record is James Sullivan Iii Do (Authorized Official)

NPI
1578077103
Provider Legal Name
SNNAC LLC
Other Organization Name
AZURA SURGERY CENTER NORTHERN NEVADA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
932 RYLAND ST RENO, NV 89502
Location Phone
(775) 853-4166
Mailing Address
40 VALLEY STREAM PKWY STE 100 MALVERN, PA 19355
Mailing Phone
(610) 644-8900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2017
Last Update Date
04-27-2020
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Location Map

Secondary Locations

  • 10085 Double R Blvd
    Reno, NV 89521
    (775) 853-4166

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

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

JAMES SULLIVAN III DO

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(775) 232-5387

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
250001294MEDICAID (05)NV 

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.

Insertion of abdominal tube using imaging guidance with review by radiologist

This procedure involves placing a tube in your abdomen under imaging guidance. A radiologist will review the images to ensure correct placement. The tube helps drain excess fluid or air, aiding in your recovery and comfort.

This service was performed 17 times for 16 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

This service was performed 472 times for 232 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

This service was performed 29 times for 29 patients

Insertion of tunneled central venous tube for infusion (5 years or older)

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

This service was performed 23 times for 23 patients

Removal of tunneled central venous tube

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

This service was performed 45 times for 44 patients

Replacement of tunneled central venous tube

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

This service was performed 30 times for 28 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
29D2149692
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 08, 2026
Certificate Expiration Date
June 07, 2028
Laboratory Director
LINDSAY D. SANDERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Azura Surgery Center Northern Nevada 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 1578077103, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 7 → 14 → 5 0 → 0 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 4 + 8 + 0 + 7 + 1 + 4 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1578077103.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578077103, enumerated as an "organization" on November 17, 2017.

The provider is located at 932 RYLAND ST RENO, NV 89502 and the phone number is (775) 853-4166.

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.