R Choice Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

R CHOICE SURGICAL CENTER LLC

Practice address

2900 Elk LN
Fremont, NE 68025-2433

Phone

(402) 721-8895

Fax

(402) 721-6663

NPI assigned

May 7, 2015

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

Owner

Phone

(402) 981-4768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

R Choice Surgical Center LLCCCN 28C0001058

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

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": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1356729636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 ELK LN",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680258691",
            "telephone_number": "402-721-8895",
            "fax_number": "402-721-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ELK LN",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252433",
            "telephone_number": "402-721-8895",
            "fax_number": "402-721-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R CHOICE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "RAIKAR",
        "authorized_official_first_name": "SOUBRATA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "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": []
}

• Nicole Pronske, RN
• John C Puente, M.D.
• Falon Pulfer, DDS
• Kellie Ann Quinlin
• Samantha Quinn
• Paul Radtke, PLMHP, PLDAC
• Juli Marie Rahfeldt
• Rai Care Centers of Nebraska II, LLC
• Soubrata V Raikar, M.D.
• Lindsay N Rasco

• Ambulatory Surgical Clinic/Center in Fremont, NE
• Providers in Fremont, 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 22, 2016; 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.