Organization Active NPI

Aims Outpatient Surgery

  • Ambulatory Surgical Clinic/Center
  • Kingman, AZ
National Provider Identifier
1063408649
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC0074 Issued in AZ
Legal business name
AIMS OUTPATIENT SURGERY
Practice address
3636 N Stockton Hill Rd
Kingman, AZ 86409
Phone
(928) 757-3690
Fax
(928) 757-3635
NPI assigned
Sep 20, 2005
Last updated
Jun 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Mr. Azam S. Khan
Title
Chief Administrative Officer
Phone
(928) 757-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC0074 AZ Primary

Addresses

Primary practice location

3636 N Stockton Hill Rd
Kingman, AZ 86409

Mailing address

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone (928) 757-3690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091214000704 AZ Part B Supplier - Ambulatory Surgical Center 4981744497 Receives reassigned benefits from 5 practitioners
Practice locations: Kingman, AZ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Aims Outpatient SurgeryCCN 03C0001093
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2044249Aims Outpatient Surgery3636 Stockton Hill Rd, Ste 3, Kingman, AZ 86409Certificate of waiverJul 18, 2026

National Provider Directory

National Provider Directory

Locations

3636 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-3636

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13192/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1063408649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864090514",
            "telephone_number": "928-757-3690",
            "fax_number": "928-757-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-757-3690",
            "fax_number": "928-757-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMS OUTPATIENT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AZAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "928-757-3636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC0074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.