SURGICAL ELITE OF AVONDALE, LLC
NPI 1598996894
Clinic/Center - Ambulatory Surgical in Avondale, AZ

NPI Status: Active since August 04, 2009

Contact Information

10815 W MCDOWELL RD
SUITE 101
AVONDALE, AZ
ZIP 85392
Phone: (623) 433-0110
Fax: (623) 433-0111

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 03D1053340
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-19-2026

About SURGICAL ELITE OF AVONDALE, LLC

This page provides the complete NPI Profile along with additional information for Surgical Elite Of Avondale, Llc, a provider established in Avondale, Arizona operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1598996894 assigned on August 2009. The practitioner's primary taxonomy code is 261QA1903X with license number OCS4020 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Eric Boon (Officer/authorized Official)

NPI
1598996894
Provider Name
SURGICAL ELITE OF AVONDALE, LLC
Entity Type
Organization
Location Address
10815 W MCDOWELL RD SUITE 101 AVONDALE, AZ 85392
Location Phone
(623) 433-0110
Location Fax
(623) 433-0111
Mailing Address
10815 W MCDOWELL RD SUITE 101 AVONDALE, AZ 85392
Mailing Phone
(623) 433-0110
Mailing Fax
(623) 433-0111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2009
Last Update Date
01-16-2025
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
OCS4020
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
  • Blue EverydayHealth Gold - MaricopaFocus Network - HMO
  • Blue EverydayHealth Silver - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Secure - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple PCP Saver - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC BOON

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(480) 567-0269

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 16 times for 15 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 264 times for 256 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 248 times for 247 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 14 times for 14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 28 times for 28 patients

Crushing of stone of ureter with insertion of stent using an endoscope

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

This service was performed 15 times for 15 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 19 times for 19 patients

Imaging of urinary tract following injection of a contrast agent

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

This service was performed 21 times for 19 patients

Removal of nasal air passage under lining tissue

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

This service was performed 30 times for 15 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 275 times for 273 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 16 times for 16 patients

Reshaping of nasal cartilage

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

This service was performed 14 times for 14 patients

Shock wave crushing of kidney stones

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

This service was performed 17 times for 14 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1053340
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 20, 2024
Certificate Expiration Date
April 19, 2026
Laboratory Director
DANIEL D. CHAROUS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Surgical Elite Of Avondale, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SURGICAL ELITE OF AVONDALE, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598996894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518818912818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 8 + 9 + 1 + 2 + 8 + 1 + 8 + 24 = 86
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 86 = 44

The NPI number 1598996894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851382899 CHIA-HOW LIU M.D.
Individual
Family Medicine10815 W MCDOWELL RD SUITE 305
AVONDALE, AZ 85392
(623) 936-3312
1871566109MR. STEVEN M PEERY PT, MPT
Individual
Physical Therapist10815 W MCDOWELL RD SUITE 203
AVONDALE, AZ 85392
(623) 907-4400
1396762969 DIANNE S CARPENTER PT, DPT
Individual
Physical Therapist10815 W MCDOWELL RD SUITE 203
AVONDALE, AZ 85392
(623) 907-4400
1225190820ARIZONA COLLEGE OF ORTHOPEDIC SURGEONS, PLLC
Organization
Orthopaedic Surgery10815 W MCDOWELL RD SUITE 303
AVONDALE, AZ 85392
(602) 424-0935
1023133964 LISA M POORMON P.T.
Individual
Physical Medicine & Rehabilitation10815 W MCDOWELL RD
AVONDALE, AZ 85392
(623) 433-0199
1861689986PAINCARE OF ARIZONA, LLC
Organization
Clinic/Center (Medical Specialty)10815 W MCDOWELL RD SUITE 304
AVONDALE, AZ 85392
(623) 433-0199
1215195284PAINCARE HEALTH INSTITUTE LLC
Organization
Clinic/Center (Ambulatory Surgical)10815 W MCDOWELL RD STE 304
AVONDALE, AZ 85392
(623) 433-0199
1497917660PAINCARE HEALTH INSTITUTE LLC
Organization
Pain Medicine (Pain Medicine)10815 W MCDOWELL RD STE 304
AVONDALE, AZ 85392
(623) 433-0199
1861649998ARIZONA ACADEMY OF HEALTH AND PERFORMANCE LLC
Organization
Physical Therapist10815 W MCDOWELL RD STE 304
AVONDALE, AZ 85392
(623) 433-0199
1720211022SMI IMAGING, LLC
Organization
Radiology (Diagnostic Radiology)10815 W MCDOWELL RD SUITE 102
AVONDALE, AZ 85392
(623) 423-0121
1942597307 ADAM K GRIFFIN PT
Individual
Physical Therapist10815 W MCDOWELL RD SUITE 203
AVONDALE, AZ 85392
(623) 907-4400
1083828610DR. STEVEN RUSH SUMPTER DO
Individual
Family Medicine10815 W MCDOWELL RD 201
AVONDALE, AZ 85392
(602) 433-0155
1093955908 ARUN S. PATIL M.D.
Individual
Internal Medicine (Cardiovascular Disease)10815 W MCDOWELL RD SUITE 202
AVONDALE, AZ 85392
(623) 433-0202
1164539755 ADHAR SETH MD
Individual
Internal Medicine (Cardiovascular Disease)10815 W MCDOWELL RD SUITE 202
AVONDALE, AZ 85392
(623) 433-0202
1902813678DR. BONIFASIYO K. SSENNYAMANTONO MD
Individual
Internal Medicine (Cardiovascular Disease)10815 W MCDOWELL RD SUITE 202
AVONDALE, AZ 85392
(623) 433-0202
1609857705DR. LORNE WILLIAM MURRAY MD
Individual
Internal Medicine (Cardiovascular Disease)10815 W MCDOWELL RD STE 202
AVONDALE, AZ 85392
(623) 433-0202
1699892059DR. KOUSHIK NAG DO
Individual
Internal Medicine (Interventional Cardiology)10815 W MCDOWELL RD SUITE 202
AVONDALE, AZ 85392
(623) 433-0202
1053148643LUNA MEDICAL SERVICES LLC
Organization
Anesthesiology10815 W MCDOWELL RD
AVONDALE, AZ 85392
(209) 956-7732
1144212721 RIYAZ A SUMAR MD
Individual
Internal Medicine (Cardiovascular Disease)10815 W MCDOWELL RD SUITE 202
AVONDALE, AZ 85392
(623) 433-0202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598996894, enumerated in the NPI registry as an "organization" on August 04, 2009

The provider is located at 10815 W Mcdowell Rd Suite 101 Avondale, Az 85392 and the phone number is (623) 433-0110

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm, Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Colorectal cancer screening; colonoscopy on individual at high risk, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Crushing of stone of ureter with insertion of stent using an endoscope, Diagnostic exam of large bowel using a flexible endoscope, Imaging of urinary tract following injection of a contrast agent, Removal of nasal air passage under lining tissue, Removal of polyps or growths of large bowel using an endoscope with mechanical snare, Repair of shoulder rotator cuff using an endoscope, Reshaping of nasal cartilage and Shock wave crushing of kidney stones.

The provider's CLIA number is 03D1053340 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 04, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.