Active NPI
Arete Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Johnstown, CO
National Provider Identifier
1487096061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ARETE SURGICAL CENTER, LLC
- Practice address
- 4397 Ronald Reagan Boulevard
Johnstown, CO 80534-6441 - Phone
- (970) 663-3200
- Fax
- (970) 663-4227
- NPI assigned
- Jul 23, 2013
- 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
- Scott K Dhupar, MD
- Title
- Ceo
- Phone
- (970) 353-5959
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4397 Ronald Reagan Boulevard
Johnstown, CO 80534-6441
Mailing address
4397 Ronald Reagan Blvd
Johnstown, CO 80534-6445
Phone (970) 663-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131022001437 | CO | Part B Supplier - Ambulatory Surgical Center | 8527293836 | Practice locations: Johnstown, CO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Arete Surgical Center
- 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 |
|---|---|---|---|
| 06D2059888 | Arete Surgical Center | Certificate of waiver | Jun 2, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Greeley, CO
- NPI 1942289491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705363200000",
"number": "1487096061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4397 RONALD REAGAN BLVD",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805346445",
"telephone_number": "970-663-3200",
"fax_number": "970-663-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4397 RONALD REAGAN BOULEVARD",
"city": "JOHNSTOWN",
"state": "CO",
"postal_code": "805346441",
"telephone_number": "970-663-3200",
"fax_number": "970-663-4227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARETE SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-23",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A",
"authorized_official_last_name": "DHUPAR",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-353-5959",
"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 Johnstown, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.