FAMILY SURGICAL SUITE
NPI 1083861165
Clinic/Center - Ambulatory Surgical in Murray, UT

Active since August 20, 2008CLIA 46D1102181 · Waiver
151 E 5600 S STE 104, MURRAY, UT 84107(801) 495-1064(801) 523-1139 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Surgical Suite NPPES

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

FAMILY SURGICAL SUITE (NPI 1083861165) is a healthcare organization registered as an ambulatory surgical in Murray, Utah and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Emily Saine, Accounting, as its authorized official.

NPPES Registry Identity

NPI1083861165
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAMILY SURGICAL SUITE
Location Address151 E 5600 S STE 104Murray, UT 84107-8140
Mailing Address151 E 5600 S Ste 104Murray, UT 84107-8140 · (801) 495-1064 · Fax (801) 523-1139
Fax(801) 523-1139
Organization SubpartNo
Authorized OfficialEmily SaineAccounting · (801) 495-1064
Enumeration DateAugust 20, 2008
✔ NPI 1083861165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
151 E 5600 S STE 104, Murray, UT 84107

Accepted 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)

Family Surgical Suite is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Family Surgical Suite, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Anesthesiology8
Certified Registered Nurse Anesthetist (CRNA)3
Dental Anesthesiology2
Dentist2

Clinicians, nearest first (15)

Dental Anesthesiology
NPI 1356094247
151 E 5600 S
Murray, UT 84107
(208) 852-1560
✔ PECOS0.6 mi
Anesthesiology
NPI 1447260997
5121 S COTTONWOOD STREET INTERMOUNTAIN MEDICAL CENTER
Murray, UT 84157
(801) 507-5248
✔ PECOS✔ Accepts Medicare0.7 mi
Anesthesiology
NPI 1376953539
11925 S STATE ST
Draper, UT 84020
(801) 545-8000
✔ PECOS✔ Accepts Medicare8.0 mi
Anesthesiology
NPI 1962517961
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOS8.8 mi
Anesthesiology
NPI 1295840247
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOS8.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982028700
6095 W 9600 N
Highland, UT 84003
(801) 822-8978
✔ Accepts Medicare16 mi
Dentist
NPI 1851846406
1126 KINGS CT
Kaysville, UT 84037
(801) 201-3037
✔ PECOS26 mi
Anesthesiology
NPI 1972624146
320 RIVER PARK DR STE 125
Provo, UT 84604
(801) 375-8049
✔ PECOS27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750368718
320 RIVER PARK DR STE 125
Provo, UT 84604
(801) 437-4500
✔ PECOS✔ Accepts Medicare27 mi
Anesthesiology
NPI 1073608659
1034 NORTH 500 WEST UTAH VALLEY REGIONAL MEDICAL CENTER
Provo, UT 84604
(801) 507-5248
✔ PECOS30 mi
Anesthesiology
NPI 1336362656
1067 N 500 W
Provo, UT 84604
(801) 375-8049
✔ PECOS✔ Accepts Medicare30 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518251503
1200 W MOHAVE RD
Parker, AZ 85344
(928) 669-9201
✔ Accepts Medicare468 mi
Dental Anesthesiology
NPI 1790213486
516 W ARLINGTON AVE
Weatherford, OK 73096
(580) 302-3726
✔ PECOS799 mi
Anesthesiology
NPI 1962988162
305 W 12TH AVE
Columbus, OH 43210
(801) 721-4291
✔ PECOS1,519 mi
Dentist
NPI 1649530601
STONY BROOK UNIVERSITY HOSPITAL DEPT OF
Stony Brook, NY 11794
(631) 444-2557
✔ PECOS2,017 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 46D1102181

Family Surgical Suite · Murray, UT
Active · expires Jul 13, 2027
CLIA Number46D1102181
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorTyler D. Dehart
Laboratory Phone(801) 833-0474
Laboratory LocationFamily Surgical Suite151 East 5600 South Ste 104, Murray, UT 84107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Family Surgical Suite's NPI number?

The NPI number for Family Surgical Suite is 1083861165. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Family Surgical Suite located?

Family Surgical Suite is located at 151 E 5600 S Ste 104, Murray, UT 84107. The listed phone number is (801) 495-1064.

What is Family Surgical Suite's specialty?

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

Is Family Surgical Suite enrolled in Medicare?

Yes. Family Surgical Suite is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Surgical Suite?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Family Surgical Suite. 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 Anesthesiology (8), Certified Registered Nurse Anesthetist (CRNA) (3) and Dental Anesthesiology (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Surgical Suite hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1102181) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Surgical Suite accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Family Surgical Suite 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 Family Surgical Suite was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.