Active NPI
Advanced Surgical Care PLLC
- Surgery Physician
- Reno, NV
National Provider Identifier
1285364182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ADVANCED SURGICAL CARE PLLC
- Practice address
- 236 W 6TH St Ste 400
Reno, NV 89503-4553 - Phone
- (775) 475-9881
- NPI assigned
- Jun 14, 2022
- 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
- Ashanga Yatawatta, MD FACS
- Title
- Owner
- Phone
- (725) 400-3200
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Vascular Surgery Physician | 2086S0129X | |||
| Surgical Oncology Physician | 2086X0206X |
Addresses
Primary practice location
236 W 6TH St Ste 400
Reno, NV 89503-4553
Mailing address
9726 Quartette Dr
Reno, NV 89521-3217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220728001922 | NV | Part B Supplier - Clinic/Group Practice | 9638551211 |
Receives reassigned benefits from 1 practitioner Practice locations: Reno, NV |
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 |
|---|---|---|---|
| 29D2272156 | Advanced Surgical Care, PLLC | Certificate of waiver | Nov 14, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1655164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665360000000",
"number": "1285364182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9726 QUARTETTE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895213217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 W 6TH ST STE 400",
"city": "RENO",
"state": "NV",
"postal_code": "895034553",
"telephone_number": "775-475-9881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-14",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A",
"authorized_official_last_name": "YATAWATTA",
"authorized_official_first_name": "ASHANGA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "725-400-3200",
"authorized_official_credential": "MD FACS"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
- Advanced Medical Care LLC
- Advanced Medical Innovations LLC
- Advanced Otolaryngology Associates
- Advanced Practice Primary Care LLC
- Advanced Surgical Care and Wellness Center Chu PC
- Advanced Surgical Center Reno
- Advanced Vascular & Vein Care (Akhtar)
- Advanced Vision LLC
- Advanced Vision LLC
- Advancing Evolution, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.