NPIMap

Organization Active NPI

Azendo LLC

Doing business as Tri-Pointe Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
National Provider Identifier
1790452126
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AZENDO LLC
Doing business as
Tri-Pointe Surgery Center
Practice address
6377 E Tanque Verde Rd Ste 102
Tucson, AZ 85715-3839
Phone
(520) 372-2287
NPI assigned
Aug 24, 2021
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Aric Burke
Title
Officer/Director
Phone
(480) 689-8403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary
Vascular Surgery Physician 2086S0129X NU

Addresses

Primary practice location

6377 E Tanque Verde Rd Ste 102
Tucson, AZ 85715-3839

Mailing address

6377 E Tanque Verde Rd Ste 101
Tucson, AZ 85715-3839

Other names 1

  • Tri-Pointe Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220303001732 AZ Part B Supplier - Ambulatory Surgical Center 3577957711 Practice locations: Tucson, AZ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Azendo LLC Dba Tri Pointe Surgery CenterCCN 03C0001463
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6377 E Tanque Verde Rd
Ste 151
Tucson, AZ 85715
Phone (520) 372-2287

Practitioners & affiliated clinicians

Practitioners 11

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": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1790452126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6377 E TANQUE VERDE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6377 E TANQUE VERDE RD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153839",
            "telephone_number": "520-372-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZENDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "480-689-8403"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Pointe Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-Pointe Surgery 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 Nov 14, 2022; 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.