Organization Active NPI

Mesquite Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
National Provider Identifier
1811228083
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSC4905 Issued in AZ
Legal business name
MESQUITE SURGERY CENTER LLC
Practice address
7445 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone
(520) 722-0929
Fax
(520) 722-0930
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Ms. Katherine Wilkes Belk-Arenas
Title
Administrator
Phone
(520) 722-0744

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSC4905 AZ Primary
Endoscopy Clinic/Center 261QE0800X

Addresses

Primary practice location

7445 E Tanque Verde Rd
Tucson, AZ 85715-3477

Mailing address

7445 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 722-0929

Other identifiers 1

IdentifierTypeStateIssuer
583125MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100723000043 AZ Part B Supplier - Ambulatory Surgical Center 4981736121 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mesquite Surgery Center LLCCCN 03C0001328
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
03D2004345Mesquite Surgery Center, LLC7445 E Tanque Verde Rd, Tucson, AZ 85715Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Locations

7445 E Tanque Verde Rd
#A
Tucson, AZ 85715

Practitioners & affiliated clinicians

Practitioners 5

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": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1811228083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-722-0929",
            "fax_number": "520-722-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-722-0929",
            "fax_number": "520-722-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "BELK-ARENAS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "WILKES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-722-0744",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OSC4905",
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "583125",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 2011; 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.