Active NPI
Comprehensive Surgical Care of Albuquerque, LLC
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
National Provider Identifier
1942913736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- COMPREHENSIVE SURGICAL CARE OF ALBUQUERQUE, LLC
- Practice address
- 4700 Jefferson St NE Ste 100
Albuquerque, NM 87109-2130 - Phone
- (505) 932-7112
- NPI assigned
- Dec 27, 2022
- Organization subpart
- Yes
- Parent organization
- REGEN ASC MANAGEMENT, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Rainwater, MD
- Title
- Ceo
- Phone
- (480) 219-0123
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4700 Jefferson St NE Ste 100
Albuquerque, NM 87109-2130
Mailing address
8475 E Hartford Dr Ste 201
Scottsdale, AZ 85255-5477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230516000139 | NM | Part B Supplier - Ambulatory Surgical Center | 8426414509 | Practice locations: Albuquerque, NM |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Comprehensive Surgical Care of Albuquerque LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
8475 E Hartford Dr
Ste 201
Scottsdale, AZ 85255
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Gilbert, AZ
- NPI 1518956499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672099200000",
"number": "1942913736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8475 E HARTFORD DR STE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 JEFFERSON ST NE STE 100",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092130",
"telephone_number": "505-932-7112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE SURGICAL CARE OF ALBUQUERQUE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REGEN ASC MANAGEMENT, LLC",
"enumeration_date": "2022-12-27",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "RAINWATER",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-219-0123",
"authorized_official_credential": "MD"
},
"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
- Comprehensive Hospitalist Services of New Mexico LLC
- Comprehensive Hospitalist Services of New Mexico LLC
- Comprehensive Hospitalist Services of New Mexico LLC
- Comprehensive Hospitalist Services of New Mexico LLC
- Comprehensive Reentry Services
- Clare Hilary Compton, MD
- Julie Compton
- Whitney Renee Compton
- Francis Comunas, MD
- Concentra Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.