Organization Active NPI

Pinnacle Outpatient Surgical Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
National Provider Identifier
1255150876
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PINNACLE OUTPATIENT SURGICAL INSTITUTE, LLC
Practice address
4812 S Mill Ave
Tempe, AZ 85282-6730
Phone
(716) 491-8210
NPI assigned
Oct 9, 2024
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Hekmat Hakiman, MDNPI 1518129055
Title
Manager
Phone
(716) 491-8210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4812 S Mill Ave
Tempe, AZ 85282-6730

Mailing address

4812 S Mill Ave
Tempe, AZ 85282-6730

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
03D2314815Pinnacle Outpatient Surgical Institute, LLC4812 S Mill Ave, Tempe, AZ 85282Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory

Locations

4812 S Mill Ave
Tempe, AZ 85282
Phone (480) 878-3005

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": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1255150876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826730",
            "telephone_number": "716-491-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE OUTPATIENT SURGICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "HAKIMAN",
        "authorized_official_first_name": "HEKMAT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-491-8210",
        "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": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.