NPIMap

Organization Active NPI

Four Peaks Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Sun City, AZ
National Provider Identifier
1083169700
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FOUR PEAKS SURGERY CENTER, LLC
Practice address
9425 W Bell Rd
Sun City, AZ 85351-1300
Phone
(623) 399-6880
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Paula Hirsch
Title
Administrator
Phone
(623) 399-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9425 W Bell Rd
Sun City, AZ 85351-1300

Mailing address

9425 W Bell Rd
Sun City, AZ 85351-1300
Phone (623) 399-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170616001711 AZ Part B Supplier - Ambulatory Surgical Center 5193093045 Receives reassigned benefits from 9 practitioners
Practice locations: Sun City, AZ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Four Peaks Surgery CenterCCN 03C0001384
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2121051Four Peaks Surgery Center9425 W Bell Rd, Sun City, AZ 85351Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1083169700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511300",
            "telephone_number": "623-399-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511300",
            "telephone_number": "623-399-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR PEAKS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-399-6880"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.