Active NPI
Biltmore Surgical Partners, LLC
Doing business as Deer Valley Surgical and Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
National Provider Identifier
1477886406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BILTMORE SURGICAL PARTNERS, LLC
- Doing business as
- Deer Valley Surgical and Endoscopy Center
- Practice address
- 19646 N 27TH Ave Ste 101
Phoenix, AZ 85027-4025 - Phone
- (602) 633-3061
- NPI assigned
- Sep 9, 2009
- 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
- Jeremy Hogue
- Title
- Director
- Phone
- (949) 706-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
19646 N 27TH Ave Ste 101
Phoenix, AZ 85027-4025
Mailing address
19646 N 27TH Ave Ste 101
Phoenix, AZ 85027-4025
Phone (602) 633-3061
Other names 1
- Deer Valley Surgical and Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091214000775 | AZ | Part B Supplier - Ambulatory Surgical Center | 3476693995 | Practice locations: Phoenix, AZ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Biltmore Anesthesia
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1518785393
3476693995
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Biltmore Surgical Partners 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 |
|---|---|---|---|
| 03D2187392 | Deer Valley Surgical and Endoscopy Center | Certificate of waiver | Jun 30, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Biltmore Anesthesia
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Biltmore Anesthesia
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1518785393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594944000000",
"number": "1477886406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19646 N 27TH AVE STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274025",
"telephone_number": "602-633-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19646 N 27TH AVE STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274025",
"telephone_number": "602-633-3061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BILTMORE SURGICAL PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-09",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A",
"authorized_official_last_name": "HOGUE",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "949-706-9900"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Deer Valley Surgical and Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
- Biltmore Physical Medicine LLC (Arizona Pain Relief)
- Biltmore Physical Therapy LLC
- Biltmore Psychiatric Group
- Biltmore Psychology Services
- Biltmore Spinal Health, LLC
- Biltmore Surgical Partners, LLC (Biltmore Anesthesia)
- Biltmore Treatment Center LLC
- Dylan Bilyeu, LPC
- Varbah Bimba
- Zaryab Bin Riaz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.