BISMARCK SURGICAL ASSOCIATES LLC NPI 1255339628

NPI Information

  • NPI: 1255339628
  • Provider Name: BISMARCK SURGICAL ASSOCIATES, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 35D0955738
  • Address: 106 E GREENFIELD LN
    BISMARCK, ND
    ZIP 58503
  • Phone: (701) 221-2299

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NPI Details

BISMARCK SURGICAL ASSOCIATES, LLC is an ambulatory surgical clinic center in Bismarck, ND. BISMARCK SURGICAL ASSOCIATES, LLC NPI is 1255339628. The provider is registered as an organization entity type.

The provider's business location address is:

106 E GREENFIELD LN
BISMARCK, ND
ZIP 58503-578
Phone: (701) 221-2299
Fax: (701) 323-3388

The provider's authorized official is Attas Boutrous .
The authorized official title is Administrator and has the following contact phone number (701) 221-2299.

The CLIA number assigned to this NPI record is 35D0955738 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Limited removal of abnormal shoulder joint tissue using endoscope (HCPCS:29822)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Lengthening of calf muscle (HCPCS:27687)
  • Removal of deep implant from bone (HCPCS:20680)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of growth of tendon finger or hand (HCPCS:26160)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Harvest of graft from small bone (HCPCS:20900)
  • Injection of carpal tunnel (HCPCS:20526)
  • Partial removal of shoulder joint lining using an endoscope (HCPCS:29820)

The enumeration date for this NPI number is 7/11/2005 and was last updated on 10/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QA1903XClinic/CenterAmbulatory SurgicalNORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15490260MEDICAIDSOUTH DAKOTA
21462920MEDICAIDNORTH DAKOTA
310864MEDICAIDNORTH DAKOTA
48618OTHERNORTH DAKOTABCBS
5490004061OTHERNORTH DAKOTARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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