Active NPI
Tri-City Surgical Centers, LLC
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
National Provider Identifier
1083382154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TRI-CITY SURGICAL CENTERS, LLC
- Practice address
- 143 S 63Rd Street
Mesa, AZ 85206 - Phone
- (480) 835-6100
- NPI assigned
- Sep 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaskamal Kahlon, MD
- Title
- Authorized Official
- Phone
- (480) 835-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
143 S 63Rd Street
Mesa, AZ 85206
Mailing address
6343 E Main St Ste 12
Mesa, AZ 85205-8955
Phone (480) 835-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220330001566 | AZ | Part B Supplier - Ambulatory Surgical Center | 8022404102 | Practice locations: Mesa, AZ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Tri City Surgical Centers LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2248660 | Tri-City Surgical Centers | Accreditation | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
143 S 63rd St
Ste 101
Mesa, AZ 85206
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Mesa, AZ
- NPI 1093783953
-
- Clinical Cardiac Electrophysiology Physician
- Mesa, AZ
- NPI 1609893502
-
- Interventional Cardiology Physician
- Mesa, AZ
- NPI 1023066487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630540800000",
"number": "1083382154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6343 E MAIN ST STE 12",
"city": "MESA",
"state": "AZ",
"postal_code": "852058955",
"telephone_number": "480-835-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 S 63RD STREET",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-835-6100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-CITY SURGICAL CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "KAHLON",
"authorized_official_first_name": "JASKAMAL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "480-835-6100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.