Active NPI
Aloe Surgical Center Scottsdale, LLC
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1245820042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ALOE SURGICAL CENTER SCOTTSDALE, LLC
- Practice address
- 9700 N 91St St Ste C100
Suite C100
Scottsdale, AZ 85258-5054 - Phone
- (602) 533-2161
- Fax
- (602) 532-7825
- NPI assigned
- Jan 25, 2021
- Last updated
- Sep 22, 2025
- 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
- Eric Boon
- Title
- Market President
- Phone
- (480) 567-0269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
9700 N 91St St Ste C100
Suite C100
Scottsdale, AZ 85258-5054
Mailing address
9700 N 91St St Ste C100
Scottsdale, AZ 85258-5054
Phone (602) 533-2161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210729001413 | AZ | Part B Supplier - Ambulatory Surgical Center | 9931502887 | Practice locations: Scottsdale, AZ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Aloe Surgical Center Scottsdale 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 |
|---|---|---|---|
| 03D2214391 | Aloe Surgical Center Scottsdale, LLC | Certificate of waiver | Feb 21, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mercy Memorial Home Health
- Home Health Agency
- Bakersfield, CA
- NPI 1609926765
Member Of
-
dba Westover Hills Baptist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
Member Of
Locations
9700 N 91st St
Ste C100
Scottsdale, AZ 85258
Phone (602) 533-2161
9700 N 91st St
Ste C124C132
Scottsdale, AZ 85258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1245820042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 N 91ST ST STE C100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585054",
"telephone_number": "602-533-2161",
"fax_number": "602-532-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 N 91ST ST STE C100",
"address_2": "SUITE C100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585054",
"telephone_number": "602-533-2161",
"fax_number": "602-532-7825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALOE SURGICAL CENTER SCOTTSDALE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-25",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "BOON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MARKET PRESIDENT",
"authorized_official_telephone_number": "480-567-0269"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.