Organization Active NPI

Tilden Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hamburg, PA
National Provider Identifier
1871108068
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TILDEN AMBULATORY SURGERY CENTER, LLC
Practice address
61 Industrial Dr
Hamburg, PA 19526-8768
Phone
(570) 622-5616
NPI assigned
Sep 14, 2020
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Ashok Kumar, MDNPI 1659353258
Title
President
Phone
(570) 622-5616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

61 Industrial Dr
Hamburg, PA 19526-8768

Mailing address

61 Industrial Dr
Hamburg, PA 19526-8768
Phone (570) 622-5616

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL POTTSVILLE Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214001850 PA Part B Supplier - Ambulatory Surgical Center 8022420181 Receives reassigned benefits from 5 practitioners
Practice locations: Hamburg, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Tilden Ambulatory Surgery Center LLCCCN 39C0001374
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
39D2227520Tilden Ambulatory Surgery Center, LLC61 Industrial Drive, Hamburg, PA 19526Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1871108068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 INDUSTRIAL DR",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195268768",
            "telephone_number": "570-622-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 INDUSTRIAL DR",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195268768",
            "telephone_number": "570-622-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILDEN AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-622-5616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "POTTSVILLE",
            "affiliation": "N",
            "endpointDescription": "Medical Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hamburg, PA",
            "address_1": "61 Industrial Dr",
            "city": "Hamburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "195268768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.