Surgery Nevada LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY NEVADA LLC

Practice address

5560 Kietzke LN
Reno, NV 89511-3019

Phone

(775) 284-1638

NPI assigned

Feb 2, 2022

Last updated

May 4, 2022By 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

William P. Douglas

Title

Billing Manager

Phone

(775) 284-1643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

Surgery Nevada LLCCCN 29C0001135

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 3

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.

• Ross Anderson

  • Urology Physician
  • Reno, NV
  • NPI 1407275209
  NPD
• Remy William Lamberts

  • Urology Physician
  • Reno, NV
  • NPI 1194014688
  NPD
• Steffanie Robertus, PAC

  • Physician Assistant
  • Reno, NV
  • NPI 1093386823
  NPD (past)

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1225781891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-284-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-284-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "775-284-1643"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmala Sneha Surapaneni, M.D.
• Lukas Aaron Surbeck
• Brianna Nicole Surgento, MSN, APRN, PMHNP-BC
• Surgery Center Anesthesia LLC
• Surgery Center of Reno, LLC (Swift Surgery Center LLC)
• Alton Eugene Surrell
• David Leslie Surujpaul, MD
• Susan Hsu MD
• Sasha Daniela Sushenko
• Stacie Emmagene Suter

• Ambulatory Surgical Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.