Healthcare Provider Details

I. General information

NPI: 1588575930
Provider Name (Legal Business Name): ATRIUS HEALTH AMBULATORY SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 TRAPELO RD STE 250
WALTHAM MA
02451-7360
US

IV. Provider business mailing address

1601 TRAPELO RD STE 250
WALTHAM MA
02451-7360
US

V. Phone/Fax

Practice location:
  • Phone: 205-545-2572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEVIN GHILANI
Title or Position: OPERATIONS
Credential:
Phone: 412-926-5414