NPIMap

Organization Active NPI

Arizona Surgical Specialists Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
National Provider Identifier
1174307961
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ARIZONA SURGICAL SPECIALISTS CENTER, LLC
Practice address
6442 E Speedway Blvd Ste 152
Tucson, AZ 85710-0013
Phone
(520) 525-5491
Fax
(623) 691-8498
NPI assigned
Aug 22, 2023
Organization subpart
Yes
Parent organization
ARIZONA SURGICAL SPECIALISTS CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Steven Siwek, MDNPI 1932204435
Title
President
Phone
(623) 516-8252

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6442 E Speedway Blvd Ste 152
Tucson, AZ 85710-0013

Mailing address

9401 W Thunderbird Rd Ste 180
Peoria, AZ 85381-4210
Phone (623) 516-8252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301001637 AZ Part B Supplier - Ambulatory Surgical Center 1254379399 Practice locations: Tucson, AZ

Ambulatory surgical center certification: CCN 03C0001493

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ARIZONA SURGICAL SPECIALISTS CENTER LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 10, 2024
Last certification
Jun 10, 2024
Facility address
6442 East Speedway Suite 152
Tucson, AZ 85710

Other NPIs with the same Medicare PAC ID 3

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

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
03D2298276Arizona Surgical Specialists Center, LLC6442 E Speedway Blvd Ste 152, Tucson, AZ 85710Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Arizona Surgical Specialists Center LLC4 organizations share this tax ID, including this one
Part of
Arizona Surgical Specialists Center LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9250 W Thomas Rd
Ste 220
Phoenix, AZ 85037
Phone (480) 930-4018

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1174307961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD STE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814210",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 E SPEEDWAY BLVD STE 152",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857100013",
            "telephone_number": "520-525-5491",
            "fax_number": "623-691-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SURGICAL SPECIALISTS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA SURGICAL SPECIALISTS CENTER, LLC",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "SIWEK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-516-8252",
        "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 Tucson, AZ

Sources for this page

Verify at the official NPI Registry.