NPIMap

Organization Active NPI

Modern Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1922943224
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MODERN SURGICAL CENTER
Practice address
2500 Louisiana Blvd NE Ste 600
Albuquerque, NM 87110-4372
Phone
(505) 319-0231
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Dr. Athanasios ManoleNPI 1780002220
Title
Owner
Phone
(505) 319-0231

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 Primary

Addresses

Primary practice location

2500 Louisiana Blvd NE Ste 600
Albuquerque, NM 87110-4372

Mailing address

1540 Juan Tabo Blvd NE Ste a
Albuquerque, NM 87112-4460
Phone (505) 800-7246

National Provider Directory

National Provider Directory

Locations

2500 Louisiana Blvd NE
Ste 600
Albuquerque, NM 87110
Phone (505) 319-0231

Practitioners & affiliated clinicians

Practitioners 7

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": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1922943224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 JUAN TABO BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124460",
            "telephone_number": "505-800-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LOUISIANA BLVD NE STE 600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104372",
            "telephone_number": "505-319-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MANOLE",
        "authorized_official_first_name": "ATHANASIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-319-0231",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.