FOUR PEAKS SURGERY CENTER, LLC
NPI 1083169700
Clinic/Center - Ambulatory Surgical in Sun City, AZ

Active since August 23, 2016CLIA 03D2121051 · Waiver

9425 W BELL RD, SUN CITY, AZ 85351(623) 399-6880 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 23, 2017, Aug 23, 2016 (2 updates tracked since 2016).

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About Four Peaks Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR PEAKS SURGERY CENTER, LLC (NPI 1083169700) is a healthcare organization registered as an ambulatory surgical in Sun City, Arizona and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Paula Hirsch, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083169700

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameFOUR PEAKS SURGERY CENTER, LLC

Location Address9425 W BELL RDSun City, AZ 85351-1300

Mailing Address9425 W Bell RdSun City, AZ 85351-1300 · (623) 399-6880

Phone(623) 399-6880

Organization SubpartNo

Authorized OfficialPaula HirschAdministrator · (623) 399-6880

Enumeration DateAugust 23, 2016

Last NPPES UpdateFebruary 23, 20172 updates tracked since enumeration

✔ NPI 1083169700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

9425 W BELL RD, Sun City, AZ 85351

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Four Peaks Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Four Peaks Surgery Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Aaron Latowsky, MD

Urology

NPI 1205992609

14044 W CAMELBACK RD SUITE 128 ARIZONA UROLOGY RANCHO LA LOMA MEDICAL PLAZA
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

Urology

NPI 1306086798

14044 W CAMELBACK RD STE 118
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

Amy Schlaifer, M.D.

Urology

NPI 1366615676

14044 W CAMELBACK RD STE 118
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

David Kaplan, M.D.

Urology

NPI 1932349784

14044 W CAMELBACK RD #118
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

Chandan Kundavaram, M.D.

Urology

NPI 1629242714

14044 W CAMELBACK RD STE 118 & 216
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

Keri Wong, M.D.

Obstetrics/Gynecology

NPI 1639321284

14044 W CAMELBACK RD SUITE 118
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

Jennifer Klauschie, M.D.

Obstetrics/Gynecology

NPI 1083808265

14044 W. CAMELBACK ROAD, SUITE 118
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

Joshua Jones, M.D.

Urology

NPI 1023363009

14044 W CAMELBACK RD STE 118
Litchfield Park, AZ 85340

✔ PECOS✔ Accepts Medicare11 mi

Hemikaa Devakumar

Obstetrics/Gynecology

NPI 1801213731

4344 E PRESIDIO ST
Mesa, AZ 85215

✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2121051

Four Peaks Surgery Center · Sun City, AZ

Active · expires Oct 27, 2026

CLIA Number03D2121051

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorDavid Kaplan

Laboratory Phone(623) 399-6880

Laboratory LocationFour Peaks Surgery Center9425 W Bell Rd, Sun City, AZ 85351

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

152 services71 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

109 services95 patients

Repair of bulging of rectum and bladder into vaginal wall 57265

This procedure involves correcting a condition where the rectum and bladder bulge into the vaginal wall, causing discomfort. The operation helps to restore these organs to their normal position, improving comfort and functionality.

90 services89 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

81 services77 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

80 services71 patients

Repair of pelvic ligaments through vagina 57282

This procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.

77 services77 patients

Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590

The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.

54 services54 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

44 services31 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

44 services44 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

42 services42 patients

Destruction and/or removal of large growth of bladder using an endoscope 52240

This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.

28 services25 patients

Crushing, fragmenting, and removal of bladder stones, more than 2.5 cm 52318

This procedure involves breaking down large stones in the bladder into smaller pieces and then removing them. It's performed when stones are too big to pass naturally. The process is safe and helps restore normal bladder function.

25 services24 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

22 services22 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

20 services20 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715

This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.

19 services17 patients

Placement of device in prostate for radiation therapy 55876

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

19 services19 patients

Suture closure of vagina and vaginal opening 57120

This procedure involves the use of stitches to close an opening or wound in the lower part of the female reproductive system. It's typically done to repair a tear or cut, or as part of a surgical procedure. The goal is to promote healing and prevent complications.

15 services15 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

14 services14 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

13 services13 patients

Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm 52317

This procedure involves breaking down and removing small stones found in your bladder. The stones are first crushed into smaller pieces, then removed to help alleviate discomfort and prevent further complications.

11 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Peaks Surgery Center, LLC's NPI number?

The NPI number for Four Peaks Surgery Center, LLC is 1083169700. It was assigned to this organization in the NPPES registry on August 23, 2016.

Where is Four Peaks Surgery Center, LLC located?

Four Peaks Surgery Center, LLC is located at 9425 W Bell Rd, Sun City, AZ 85351. The listed phone number is (623) 399-6880.

What is Four Peaks Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Four Peaks Surgery Center, LLC enrolled in Medicare?

Yes. Four Peaks Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Four Peaks Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Four Peaks Surgery Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (6) and Obstetrics/Gynecology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Four Peaks Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2121051) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Four Peaks Surgery Center, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and UnitedHealthcare list Four Peaks Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Four Peaks Surgery Center, LLC was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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