ALTA-ROSE SURGERY CENTER LLC
NPI 1841259611
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Q: What is Alta-Rose Surgery Center LLC's NPI number?

The NPI number for Alta-Rose Surgery Center LLC is 1841259611. It was assigned to this organization in the NPPES registry on March 21, 2006.

Q: What is Alta-Rose Surgery Center LLC's specialty?

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

Active since March 21, 2006CLIA 29D1029994 · Waiver

501 ROSE ST, SUITE 110, LAS VEGAS, NV 89106(702) 386-9906(702) 386-9910 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alta-rose Surgery Center Llc NPPES

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

ALTA-ROSE SURGERY CENTER LLC (NPI 1841259611) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 26, 2028 and lists Douglas K Devries, Owner, as its authorized official.

NPPES Registry Identity

NPI1841259611

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameALTA-ROSE SURGERY CENTER LLC

Location Address501 ROSE ST, SUITE 110Las Vegas, NV 89106-4053

Mailing Address501 Rose St, Suite 110Las Vegas, NV 89106-4053 · (702) 386-9906 · Fax (702) 386-9910

Phone(702) 386-9906

Fax(702) 386-9910

Organization SubpartNo

Authorized OfficialDouglas K DevriesOwner · (775) 674-1100

Enumeration DateMarch 21, 2006

Last NPPES UpdateNovember 28, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1841259611 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 NV · 3981ASC-3

501 ROSE ST, Las Vegas, NV 89106

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Other Identifiers 1

Medicaid100505697NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alta-rose Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNevadaEnrollment IDO20050208000397Non-DME Part B · Ambulatory Surgical CenterDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Alta-Rose Surgery Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stewart Park, M.D.

Ophthalmology

NPI 1457365215

330 S RAMPART BLVD STE 360
Las Vegas, NV 89145

(702) 724-2020

✔ PECOS✔ Accepts Medicare6.6 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 29D1029994

Alta Rose Surgery Center, LLC · Las Vegas, NV

Active · expires Aug 26, 2028

CLIA Number29D1029994

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 27, 2026

Certificate Expiration DateAugust 26, 2028

Laboratory DirectorBrian D Alder

Laboratory Phone(702) 386-9906

Laboratory LocationAlta Rose Surgery Center, LLC501 Rose Street, Suite 110, Las Vegas, NV 89106

CLIA data matches this NPI record on: Address Name Phone

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

Areas of Expertise CMS Part B claims 3

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

80 services59 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

58 services42 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

44 services32 patients

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 Alta-Rose Surgery Center LLC's NPI number?

The NPI number for Alta-Rose Surgery Center LLC is 1841259611. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Alta-Rose Surgery Center LLC located?

Alta-Rose Surgery Center LLC is located at 501 Rose St Suite 110, Las Vegas, NV 89106. The listed phone number is (702) 386-9906.

What is Alta-Rose Surgery Center LLC's specialty?

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

Is Alta-Rose Surgery Center LLC enrolled in Medicare?

Yes. Alta-Rose Surgery Center LLC is registered in the Medicare PECOS enrollment system.

When is Alta-Rose Surgery Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Alta-Rose Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Alta-Rose 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alta-Rose Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D1029994) is associated with this NPI, valid through August 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alta-Rose Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Alta-Rose 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 Alta-Rose Surgery Center LLC was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.