Active NPI
Arrowhead Surgery Center
- Ambulatory Surgical Clinic/Center
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ARROWHEAD SURGERY CENTER
- Practice address
- 1500 W Ray Rd
Chandler, AZ 85224-0002 - Phone
- (480) 963-3881
- Fax
- (480) 899-8610
- NPI assigned
- Feb 9, 2017
- Last updated
- Dec 2, 2024
- 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
- Dr. Michael Jerome Depenbusch, M.D.
- Title
- President/Owner
- Phone
- (480) 272-2686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1500 W Ray Rd
Chandler, AZ 85224-0002
Mailing address
1500 W Ray Rd
Chandler, AZ 85224-0002
Phone (480) 963-3881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170920000050 | AZ | Part B Supplier - Ambulatory Surgical Center | 5799059424 | Practice locations: Chandler, AZ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Arrowhead Surgery Center 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 |
|---|---|---|---|
| 03D2131823 | Arrowhead Surgery Center | Certificate of waiver | Jun 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
1500 W Ray Rd
#2
Chandler, AZ 85224
1500 W Ray Rd
Ste 2
Chandler, AZ 85224
Phone (480) 427-3800
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Chandler, AZ
- NPI 1003897794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1336687326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W RAY RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852240002",
"telephone_number": "480-963-3881",
"fax_number": "480-899-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W RAY RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852240002",
"telephone_number": "480-963-3881",
"fax_number": "480-899-8610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWHEAD SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-09",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "DEPENBUSCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "480-272-2686",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.