Choice Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHOICE SURGICAL CENTER, LLC

Practice address

8814 Maple St
Omaha, NE 68134-6126

Phone

(402) 391-9100

Fax

(402) 620-6651

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Soubrata V Raikar, MDNPI 1154495125

Title

Ceo

Phone

(402) 981-4768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Ambulatory surgical center certification: CCN 28C0001070

Legal name

Choice Surgical Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 5, 2024

Last certification

Nov 15, 2024

Facility address

8814 Maple Street, Suite 2
Omaha, NE 68134

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.

• Soubrata V Raikar, M.D.

  • Interventional Pain Medicine Physician
  • Fremont, NE
  • NPI 1154495125
  NPD Authorized official

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1295429496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346126",
            "telephone_number": "402-391-9100",
            "fax_number": "402-620-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346126",
            "telephone_number": "402-391-9100",
            "fax_number": "402-620-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "RAIKAR",
        "authorized_official_first_name": "SOUBRATA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-981-4768",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Yaodar Choi, M.D.
• Michael Choi
• Soonhong Choi, MD
• Wai Lap Choi, MBBS
• Choice Rehabilitation LLC
• Choices Health Plus LLC
• Darin Chokdee, DMD
• James Bol Chol
• Kon Chol
• Matu Chol

• Ambulatory Surgical Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.