NPIMap

Organization Active NPI

American Surgical Centers - Ann Arbor LLC

Doing business as Ann Arbor Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1396513834
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AMERICAN SURGICAL CENTERS - ANN ARBOR LLC
Doing business as
Ann Arbor Surgical Center
Practice address
710 Avis Dr Ste 100
Ann Arbor, MI 48108-9649
Phone
(833) 276-2677
Fax
(248) 985-3355
NPI assigned
Dec 14, 2023
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Biljana Trujillo
Title
President and Ceo
Phone
(248) 538-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

710 Avis Dr Ste 100
Ann Arbor, MI 48108-9649

Mailing address

359 Enterprise CT Ste C
Bloomfield Hills, MI 48302-1055
Phone (833) 276-2677

Other names 1

  • Ann Arbor Surgical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240410000834 MI Part B Supplier - Ambulatory Surgical Center 8224476205 Receives reassigned benefits from 8 practitioners
Practice locations: Ann Arbor, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396513834. Details of each certification follow.

Ambulatory surgical center certification: CCN 23C0001166

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Ann Arbor Surgical Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Oct 22, 2024
Last certification
Oct 4, 2024
Ownership / control type
Proprietary
Facility address
710 Avis Dr, Suite 100
Ann Arbor, MI 48108

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
American Surgical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

359 Enterprise Ct
Ste C
Bloomfield Township, MI 48302
Phone (248) 220-7505

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1396513834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 ENTERPRISE CT STE C",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021055",
            "telephone_number": "833-276-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 AVIS DR STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089649",
            "telephone_number": "833-276-2677",
            "fax_number": "248-985-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGICAL CENTERS - ANN ARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "BILJANA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "248-538-7095"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann Arbor Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ann Arbor Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.