Organization Active NPI

Premier Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hamburg, NY
National Provider Identifier
1437517745
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PREMIER AMBULATORY SURGERY CENTER
Practice address
5844 Southwestern Blvd - Suite 700
Hamburg, NY 14075-3685
Phone
(716) 348-2759
Fax
(716) 646-5502
NPI assigned
Feb 1, 2016
Last updated
Mar 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Vishal Sharma, MDNPI 1851494769
Title
Owner
Phone
(716) 348-2759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5844 Southwestern Blvd - Suite 700
Hamburg, NY 14075-3685

Mailing address

5844 Southwestern Blvd - Suite 700
Hamburg, NY 14075-3685
Phone (716) 348-2759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171213003271 NY Part B Supplier - Ambulatory Surgical Center 2264790542 Practice locations: Hamburg, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Premier Ambulatory Surgery CenterCCN 33C0001178
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2143593Premier Ambulatory Surgery Center5844 Southwestern Blvd - Suite 700, Hamburg, NY 14075Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1437517745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 SOUTHWESTERN BLVD - SUITE 700",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753685",
            "telephone_number": "716-348-2759",
            "fax_number": "716-646-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 SOUTHWESTERN BLVD - SUITE 700",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753685",
            "telephone_number": "716-348-2759",
            "fax_number": "716-646-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-348-2759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.