AIMS OUTPATIENT SURGERY — NPI 1063408649 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in KINGMAN, AZ)

CMS-1500 Box 24J / 33a • NPI

1063408649

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QA1903X (CMS 49)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

3636 N STOCKTON HILL RD, KINGMAN, AZ, 86409

Official NPPES Practice Location

Practice Phone & Referral Fax

(928) 757-3690

Fax: (928) 757-3635

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063408649 (AIMS OUTPATIENT SURGERY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1063408649)

Medicare Beneficiaries

118

Total Billed Services

189

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$114,867.27

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`45380`	Biopsy of large bowel using a flexible endoscope	41
`62323`	Injection of substance into lower spine canal using imaging guidance	24
`64493`	Injection of lower or sacral spine facet joint using imaging guidance, single level	21

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063408649` (NPI-2 Organization / Facility)
Provider / Legal Name	AIMS OUTPATIENT SURGERY
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QA1903X` (Clinic/Center, Ambulatory Surgical)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	3636 N STOCKTON HILL RD, KINGMAN, AZ, 86409
Practice Telephone / Fax	Tel: (928) 757-3690 \| Fax: (928) 757-3635
Administrative Mailing Address	3636 N STOCKTON HILL RD, KINGMAN, AZ, 86409-0514
Enumeration & Last Sync	Enumerated: 2005-09-20 \| CMS Record Updated: 2018-06-04
Authorized Official	AZAM KHAN (Chief Administrative Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3636 N STOCKTON HILL RD, KINGMAN, AZ, 86409

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Plain-English Taxonomy & CMS Crosswalk (261QA1903X)

What Does Taxonomy Code 261QA1903X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QA1903X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 49 (Ambulatory Surgical Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AIMS OUTPATIENT SURGERY)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QA1903X` — Clinic/Center, Ambulatory Surgical Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: AZ \| License: `OSC0074` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AIMS OUTPATIENT SURGERY (NPI #1063408649)