Organization Active NPI

Capital Region Ambulatory Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Albany, NY
National Provider Identifier
1942292545
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0101220R Issued in NY
Legal business name
CAPITAL REGION AMBULATORY SURGERY CENTER, L.L.C.
Practice address
1367 Washington Ave
Suite 401
Albany, NY 12206-1043
Phone
(518) 438-7638
Fax
(518) 438-7695
NPI assigned
Aug 19, 2005
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Dr. Shankar P. Das, M.D.
Title
Medical Director
Phone
(518) 438-7638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0101220R NY Primary

Addresses

Primary practice location

1367 Washington Ave
Suite 401
Albany, NY 12206-1043

Mailing address

1367 Washington Ave
Suite 401
Albany, NY 12206-1043
Phone (518) 438-7638

Other identifiers 1

IdentifierTypeStateIssuer
02137117MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000163 NY Part B Supplier - Ambulatory Surgical Center 4486797255 Practice locations: Albany, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Capital Region Ambulatory Surgery Center LLCCCN 33C0001055
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
33D0978342Capital Region Ambulatory Surgery Center1367 Washington Ave - Suite 401, Albany, NY 12206Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1367 Washington Ave
Ste 401
Albany, NY 12206
Phone (518) 438-7638

Practitioners & affiliated clinicians

Practitioners 3

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": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1942292545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE",
            "address_2": "SUITE 401",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061043",
            "telephone_number": "518-438-7638",
            "fax_number": "518-438-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE",
            "address_2": "SUITE 401",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061043",
            "telephone_number": "518-438-7638",
            "fax_number": "518-438-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION AMBULATORY SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "SHANKAR",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "518-438-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "0101220R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02137117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.