Organization Active NPI

Center for the Surgical Arts LLC

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
National Provider Identifier
1801855127
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1843 Issued in PA
Legal business name
CENTER FOR THE SURGICAL ARTS LLC
Practice address
3107 Fairway Drive
Altoona, PA 16602
Phone
(814) 414-4848
Fax
(814) 201-2256
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Eric Ali Agha Raad
Title
Administrator
Phone
(724) 777-7702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1843 PA Primary

Addresses

Primary practice location

3107 Fairway Drive
Altoona, PA 16602

Mailing address

3107 Fairway Drive
Altoona, PA 16602
Phone (814) 414-4848

Other identifiers 3

IdentifierTypeStateIssuer
1813779OtherBLUE SHIELD
1016116300002MedicaidPA
0423OtherPAHIGHMARK

Other names 2

  • CSA Other name
  • The Center for The Surgical Arts Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110000730 PA Part B Supplier - Ambulatory Surgical Center 9931122553 Receives reassigned benefits from 4 practitioners
Practice locations: Altoona, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Center for the Surgical Arts LLCCCN 39C0001204
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1038925Center for the Surgical Arts LLC3107 Fairway Drive, Altoona, PA 16602Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1801855127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 FAIRWAY DRIVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-414-4848",
            "fax_number": "814-201-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 FAIRWAY DRIVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-414-4848",
            "fax_number": "814-201-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THE SURGICAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "AGHA RAAD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-777-7702"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1813779",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016116300002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "0423",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Center for The Surgical Arts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.