Organization Active NPI

Premier Surgery Center of Pittsburgh, LLC

  • Ambulatory Surgical Clinic/Center
  • Wexford, PA
National Provider Identifier
1396012845
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PREMIER SURGERY CENTER OF PITTSBURGH, LLC
Practice address
14000 Perry Hwy Ste 100
Wexford, PA 15090-8442
Phone
(724) 776-2111
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Brian V Heil, MDNPI 1457382269
Title
Medical Director
Phone
(724) 776-2111

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

14000 Perry Hwy Ste 100
Wexford, PA 15090-8442

Mailing address

14000 Perry Hwy Ste 100
Wexford, PA 15090-8442
Phone (724) 776-2111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000774 PA Part B Supplier - Ambulatory Surgical Center 9931369428 Receives reassigned benefits from 1 practitioner
Practice locations: Wexford, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Premier Plastic Surgery Center of PittsburghCCN 39C0001302
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
39D2040747Premier Surgery Center of Pittsburgh14000 Perry Highway, Suite 100, Wexford, PA 15090Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

14000 Perry Hwy
Ste 100
Wexford, PA 15090
Phone (724) 776-2111

Practitioners & affiliated clinicians

Practitioners 2

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": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1396012845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 PERRY HWY STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908442",
            "telephone_number": "724-776-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 PERRY HWY STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908442",
            "telephone_number": "724-776-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGERY CENTER OF PITTSBURGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "HEIL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-776-2111",
        "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 Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.