Ski Ambulatory Surgical Centers, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SKI AMBULATORY SURGICAL CENTERS, LLC

Practice address

7362 W Thunderbird Rd
Suite 103
Peoria, AZ 85381-5028

Phone

(480) 610-6152

NPI assigned

Sep 29, 2016

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Umar Waheed, MDNPI 1285689968

Title

Medical Director / Managing Partner

Phone

(480) 610-6152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023567260. Details of each certification follow.

• CCN 030142 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 030142

Legal name

SKI AMBULATORY SURGICAL CENTERS, LLC

Certification status

Terminated Voluntary: other reason for withdrawal, Oct 25, 2021

Provider type (POS)

Hospital – Short-term

Participating since

Apr 9, 2020

Last certification

Apr 9, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

7362 West Thunderbird Road, Suite 103
Peoria, AZ 85381

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ski Ambulatory Surgical Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
  • NPI 1174067318

  7911289301

  Same PAC ID
• Ski Ambulatory Surgical Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
  • NPI 1275077414

  7911289301

  Same PAC ID

Listed as

Ski Ambulatory Surgical Centers LLCCCN 03C0001379

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Umar Waheed, MD

  • Nephrology Physician
  • Peoria, AZ
  • NPI 1285689968
  Medicare reassignment NPD Authorized official
• Randy I Cooper, M.D.

  • Nephrology Physician
  • Peoria, AZ
  • NPI 1154316495
  Medicare reassignment NPD
• Gabriel El-Kass, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1821295353
  Medicare reassignment NPD
• Aslam Pervez, M.D.

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1083651210
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1023567260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 W THUNDERBIRD RD",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815028",
            "telephone_number": "480-610-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 W THUNDERBIRD RD",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815028",
            "telephone_number": "480-610-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKI AMBULATORY SURGICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "UMAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / MANAGING PARTNER",
        "authorized_official_telephone_number": "480-610-6152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Sirota, MD
• Daniel Parker Sitton, DMD
• Sitton, LLC
• Rachel Sitzmore
• Stephanie Skala, OTR/L
• Skin Cancer Treatment Center, P.C.
• Daniel Charles Skirvin, DVM
• Nathan Skotak, DPT
• Elizabeth Skotowski
• Ryan Slater, PHARM D

• Ambulatory Surgical Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.