Raymond Renaissance Surgery Center LLC
NPI 1871939082 · Ambulatory Surgical Clinic/Center · Pasadena, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raymond Renaissance Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Pasadena, CA (NPI 1871939082).
Provider details
- NPI number
- 1871939082
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khaled Tawansy, Owner(323) 257-3300
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
13 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
445 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) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 195 | $983 |
| Destruction of Eye Fluid (vitreous) Between Lens and Retina Using a Laser67039 | 53 | $2,215 |
| Removal of Membrane of Retina67041 | 48 | $2,299 |
| Removal of Membrane of Retina With Removal of Internal Limiting Membrane of Retina67042 | 32 | $2,311 |
| Removal of Eye Fluid (vitreous) Between Lens and Retina67036 | 24 | $2,152 |
| Complex Repair of Detached Retina and Drainage of Eye Fluid Between Lens and Retina67113 | 23 | $2,904 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-14
- Last updated
- 2022-07-21
Frequently asked questions
- What is Raymond Renaissance Surgery Center LLC's NPI number?
- Raymond Renaissance Surgery Center LLC's National Provider Identifier (NPI) is 1871939082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Raymond Renaissance Surgery Center LLC?
- Raymond Renaissance Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Raymond Renaissance Surgery Center LLC located?
- Raymond Renaissance Surgery Center LLC's practice location on file with NPPES is 125 N Raymond Ave Suite 212, Pasadena, CA 91105-4535.
- What is Raymond Renaissance Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Raymond Renaissance Surgery Center LLC is (626) 529-3937.
- Does Raymond Renaissance Surgery Center LLC accept Medicare?
- Raymond Renaissance Surgery 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 Raymond Renaissance Surgery Center LLC?
- The authorized official listed on Raymond Renaissance Surgery Center LLC's NPPES record is Khaled Tawansy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Raymond Renaissance Surgery Center LLC's NPI active?
- Yes — Raymond Renaissance Surgery Center LLC's NPI (1871939082) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.