Rembrandt Outpatient Surgery Center PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REMBRANDT OUTPATIENT SURGERY CENTER PLLC

Doing business as

Rembrandt Outpatient Surgery Center

Practice address

6859 E Rembrandt Ave Ste 114
Mesa, AZ 85212-3629

Phone

(480) 809-6266

Fax

(602) 626-5077

NPI assigned

Jan 17, 2018

Last updated

Sep 2, 2025By 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

Grant Cook

Title

Manager

Phone

(480) 766-6819

Specialties & licenses 1

Addresses

Other names 1

• Rembrandt Outpatient Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164930731. Details of each certification follow.

• CCN 03C0001498 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 03C0001498

Legal name

REMBRANDT SURGERY CENTER OF SCOTTSDALE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 18, 2025

Last certification

May 30, 2025

Facility address

8570 East Shea Boulevard
Scottsdale, AZ 85260

Listed as

Rembrandt Outpatient Surgery Center PLLC Dba Rembrandt Outpatient Surgery CenterCCN 03C0001450

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

Locations

Practitioners 1

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.

• Ahdev Kuppusamy, MD

  • Interventional Pain Medicine Physician
  • Gilbert, AZ
  • NPI 1982994745
  NPD

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1164930731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 305",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602717",
            "telephone_number": "480-809-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123629",
            "telephone_number": "480-809-6266",
            "fax_number": "602-626-5077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8570 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606680",
            "country_code": "US",
            "telephone_number": "480-766-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REMBRANDT OUTPATIENT SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2025-09-02",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-766-6819"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rembrandt Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Mesa, AZ
• Providers in Mesa, 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 Sep 2, 2025; 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.