Interventional and Surgical Suites of Wilkes-Barre, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTERVENTIONAL AND SURGICAL SUITES OF WILKES-BARRE, LLC

Practice address

1327 Highway 315 Blvd Ste 1
Wilkes Barre, PA 18702-7046

Phone

(570) 814-3926

NPI assigned

Oct 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis Nadal, MDNPI 1720041510

Title

Medical Director

Phone

(570) 271-6301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Interventional and Surgical Suites of Wilkes Barre LLCCCN 39C0001385

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis L. Nadal, M.D.

  • Vascular & Interventional Radiology Physician
  • Hershey, PA
  • NPI 1720041510
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1043937469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 HIGHWAY 315 BLVD STE 1",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027046",
            "telephone_number": "570-814-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL AND SURGICAL SUITES OF WILKES-BARRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "NADAL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-271-6301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Look
• Independent Mobility
• Insight Health Corp
• Instride Ventures LLC
• Internal Medicine Associates of Wyoming Valley
• Meghan Iorio, ATC
• Ecaterina Iriza, M.D.
• Caylee Irvin, PA-C
• Stacey Engler Ishley, CRNP
• Kelly Marie Jachimiak, RN

• All providers in Wilkes Barre, PA
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.