Active NPI
Surgical Specialties, LLC
- Ambulatory Surgical Clinic/Center
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- FSOF22
- Legal business name
- SURGICAL SPECIALTIES, LLC
- Practice address
- 1329 Lusitana St
Suite 401
Honolulu, HI 96813-2429 - Phone
- (808) 599-7779
- Fax
- (808) 599-7780
- NPI assigned
- Jan 2, 2012
- Last updated
- Sep 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Garry B Peers, MD
- Title
- Medical Director
- Phone
- (808) 599-7779
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | FSOF22 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 401
Honolulu, HI 96813-2429
Mailing address
1329 Lusitana St
Suite 401
Honolulu, HI 96813-2429
Phone (808) 599-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120620000184 | HI | Part B Supplier - Ambulatory Surgical Center | 0749444925 | Practice locations: Honolulu, HI |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgical Specialties LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D2107445 | Surgical Specialties LLC | Certificate of waiver | Jan 12, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to 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.
-
- Urology Physician
- Honolulu, HI
- NPI 1376593269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443398400000",
"number": "1134499650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 401",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-599-7779",
"fax_number": "808-599-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 401",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-599-7779",
"fax_number": "808-599-7780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALTIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-02",
"last_updated": "2015-09-28",
"status": "A",
"authorized_official_last_name": "PEERS",
"authorized_official_first_name": "GARRY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "808-599-7779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "HI",
"license": "FSOF22",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.