Organization Active NPI

Desert Surgical Specialists, PLLC

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1386167120
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DESERT SURGICAL SPECIALISTS, PLLC
Practice address
19646 N 27TH Ave Ste 201
Phoenix, AZ 85027-4026
Phone
(602) 663-9371
Fax
(602) 456-6887
NPI assigned
Jul 24, 2017
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Angela M. Durrani, RN
Title
Office Manager
Phone
(602) 663-9371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

19646 N 27TH Ave Ste 201
Phoenix, AZ 85027-4026

Mailing address

19646 N 27TH Ave Ste 201
Phoenix, AZ 85027-4026
Phone (602) 663-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170829003158 AZ Part B Supplier - Clinic/Group Practice 7618240599 Receives reassigned benefits from 6 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

20401 N 73rd St
Scottsdale, AZ 85255

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1386167120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274026",
            "telephone_number": "602-663-9337",
            "fax_number": "602-456-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274026",
            "telephone_number": "602-663-9371",
            "fax_number": "602-456-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SURGICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "DURRANI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-663-9371",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.