Active NPI
El Dorado Surgery Center LP
- Ambulatory Surgical Clinic/Center
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EL DORADO SURGERY CENTER LP
- Practice address
- 7140 E Rosewood St
Tucson, AZ 85710-1346 - Phone
- (520) 877-4254
- Fax
- (877) 319-4035
- NPI assigned
- Sep 6, 2019
- 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
- Kristina Music
- Title
- Director of Provider Enrollment
- Phone
- (615) 465-7377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7140 E Rosewood St
Tucson, AZ 85710-1346
Mailing address
PO Box 848236
Dallas, TX 75284-8236
Phone (520) 877-4254
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OSC10853 | Other | AZ | STATE LICENSE |
| 098866 | Medicaid | AZ |
Other names 1
- Tucson 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 |
|---|---|---|---|---|
| O20201117001078 | AZ | Part B Supplier - Ambulatory Surgical Center | 6507852241 | Practice locations: Tucson, AZ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Tucson Endoscopy 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 |
|---|---|---|---|
| 03D2209705 | El Dorado Surgery Center, LP Dba | Certificate of waiver | Jan 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1398 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 219-2939
4000 Meridian Blvd
#2
Franklin, TN 37067
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Tucson, AZ
- NPI 1467452292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1669021283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848236",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848236",
"telephone_number": "520-877-4254",
"fax_number": "877-319-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 E ROSEWOOD ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101346",
"telephone_number": "520-877-4254",
"fax_number": "877-319-4035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL DORADO SURGERY CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-06",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "MUSIC",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "615-465-7377"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OSC10853",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098866",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tucson Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.