Executive Ambulatory Surgical Center, LLC
NPI 1386056356 · Ambulatory Surgical Clinic/Center · Dearborn, MI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Executive Ambulatory Surgical Center, LLC is a Ambulatory Surgical Clinic/Center organization in Dearborn, MI (NPI 1386056356).
Provider details
- NPI number
- 1386056356
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samer Suleiman, Manager(313) 789-5579
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
12 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
13 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) |
|---|---|---|
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 13 | $333 |
Typical Medicare-allowed amounts for these services range $333–$333 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Executive Ambulatory Surgical Center, LLC's NPI number?
- Executive Ambulatory Surgical Center, LLC's National Provider Identifier (NPI) is 1386056356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Ambulatory Surgical Center, LLC?
- Executive Ambulatory Surgical Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Executive Ambulatory Surgical Center, LLC located?
- Executive Ambulatory Surgical Center, LLC's practice location on file with NPPES is 17000 Executive Plaza Dr, Dearborn, MI 48126-2793.
- What is Executive Ambulatory Surgical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Executive Ambulatory Surgical Center, LLC is (313) 408-6613.
- Does Executive Ambulatory Surgical Center, LLC accept Medicare?
- Executive Ambulatory Surgical Center, 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 Executive Ambulatory Surgical Center, LLC?
- The authorized official listed on Executive Ambulatory Surgical Center, LLC's NPPES record is Samer Suleiman, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Ambulatory Surgical Center, LLC's NPI active?
- Yes — Executive Ambulatory Surgical Center, LLC's NPI (1386056356) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.