Organization Active NPI

Comprehensive Surgical Care of Albuquerque, LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1942913736
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Joel Rainwater, MDNPI 1518956499
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCCCN 32C0001131
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.