Phoenix ASC, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHOENIX ASC, LP

Doing business as

Cardiac Surgery Center of Phoenix

Practice address

1910 E Thomas Rd Ste 102
Phoenix, AZ 85016-7767

Phone

(713) 812-7586

NPI assigned

Mar 3, 2016

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Bemis

Title

Chief Clinical Ops Officer

Phone

(610) 644-8900

Specialties & licenses 1

Addresses

Other names 1

• Cardiac Surgery Center of Phoenix Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Cardiac Surgery Center of Phoenix LPCCN 03C0001371

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cardiac Cath Lab of Phoenix, LP

  dba Cardiac Cath Lab of Phoenix

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1841650850

  Member Of

  NPD member

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.

• Akil I Loli, MD

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1962453803
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1659731669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E THOMAS RD",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167766",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E THOMAS RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167767",
            "telephone_number": "713-812-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ASC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF CLINICAL OPS OFFICER",
        "authorized_official_telephone_number": "610-644-8900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Surgery Center of Phoenix",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardiac Surgery Center of Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenician Medical Center, Inc (Phoenician Primary Care)
• Phoenician Recovery Center LLC
• Phoenix Allies for Community Health
• Phoenix Area Cardiology and Electrophysiology LLC
• Phoenix Area Cardiology and Electrophysiology LLC
• Phoenix Autism Center, LLC
• Phoenix Az Healthcare, Inc.
• Phoenix Az Opco LLC
• Phoenix Baptist Hospital
• Phoenix Cardiac Surgery PC

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.