NPIMap

Organization Active NPI

Outpatient Endoscopy & Surgi Center

  • Ambulatory Surgical Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1053439117
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
506821 Issued in MI
Legal business name
OUTPATIENT ENDOSCOPY & SURGI CENTER
Practice address
28300 Harper Ave
Saint Clair Shores, MI 48081-1686
Phone
(586) 778-6090
Fax
(586) 778-1943
NPI assigned
Mar 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Harivallabh D Pandya, M.D.NPI 1356381347
Title
President
Phone
(586) 778-6090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 506821 MI Primary
Endoscopy Clinic/Center 261QE0800X 506821 MI

Addresses

Primary practice location

28300 Harper Ave
Saint Clair Shores, MI 48081-1686

Mailing address

28300 Harper Ave
Saint Clair Shores, MI 48081-1686
Phone (586) 778-6090

National Provider Directory

National Provider Directory
Tax ID family
Outpatient Endoscopy Surgi Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053439117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28300 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811686",
            "telephone_number": "586-778-6090",
            "fax_number": "586-778-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28300 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811686",
            "telephone_number": "586-778-6090",
            "fax_number": "586-778-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT ENDOSCOPY & SURGI CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "HARIVALLABH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-778-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "506821",
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MI",
            "license": "506821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.