Organization Active NPI

Sterling Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Orchard Park, NY
National Provider Identifier
1659338382
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1435203R Issued in NY
Legal business name
STERLING SURGICAL CENTER, LLC
Practice address
303 Sterling Drive
Orchard Park, NY 14127-1571
Phone
(716) 712-0600
Fax
(716) 712-0601
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Albert Diaz-Ordaz, MD
Title
Medical Director/Owner
Phone
(716) 712-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1435203R NY Primary

Addresses

Primary practice location

303 Sterling Drive
Orchard Park, NY 14127-1571

Mailing address

303 Sterling Drive
Orchard Park, NY 14127-1571
Phone (716) 712-0600

Other identifiers 3

IdentifierTypeStateIssuer
000000464OtherNYHEALTH NOW NEW YORK
02291349MedicaidNY
6YOtherNYINDEPENDENT HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120507000390 NY Part B Supplier - Ambulatory Surgical Center 0547422693 Practice locations: Orchard Park, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sterling Surgical Center LLCCCN 33C0001065
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1659338382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 STERLING DRIVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271571",
            "telephone_number": "716-712-0600",
            "fax_number": "716-712-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 STERLING DRIVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271571",
            "telephone_number": "716-712-0600",
            "fax_number": "716-712-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ-ORDAZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "716-712-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "1435203R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW NEW YORK",
            "identifier": "000000464",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02291349",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6Y",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.