Intrepid Lane Asc, LLC
NPI 1184378846 · Ambulatory Surgical Clinic/Center · Syracuse, NY
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Intrepid Lane Asc, LLC is a Ambulatory Surgical Clinic/Center organization in Syracuse, NY (NPI 1184378846).
Provider details
- NPI number
- 1184378846
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elan Salzhauer, Cmo(315) 870-9370
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,649 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Prostate Gland55700 | 243 | $906 |
| Ultrasound Scan of Pelvic Region Through Rectum76872 | 242 | $56 |
| Imaging of Urinary Tract Following Injection of a Contrast Agent74420 | 138 | $196 |
| Insertion of Sacral Nerve Neurostimulator Electrode Array64561 | 95 | $4,958 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 88 | $308 |
| Crushing of Stone of Ureter With Insertion of Stent Using an Endoscope52356 | 78 | $2,336 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Intrepid Lane Ambulatory Surgery Center
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Frequently asked questions
- What is Intrepid Lane Asc, LLC's NPI number?
- Intrepid Lane Asc, LLC's National Provider Identifier (NPI) is 1184378846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intrepid Lane Asc, LLC?
- Intrepid Lane Asc, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Intrepid Lane Asc, LLC located?
- Intrepid Lane Asc, LLC's practice location on file with NPPES is 190 Intrepid Ln, Syracuse, NY 13205-2545.
- What is Intrepid Lane Asc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Intrepid Lane Asc, LLC is (315) 870-9370.
- Does Intrepid Lane Asc, LLC accept Medicare?
- Intrepid Lane Asc, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Intrepid Lane Asc, LLC?
- The authorized official listed on Intrepid Lane Asc, LLC's NPPES record is Elan Salzhauer, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intrepid Lane Asc, LLC's NPI active?
- Yes — Intrepid Lane Asc, LLC's NPI (1184378846) is active in the NPPES registry as of the last update on 2026-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.