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SUNNYSIDE SURGERY CENTER, LLC
NPI 1285825075
Clinic/Center - Ambulatory Surgical in Idaho Falls, ID

NPI Status: Active since August 06, 2007

Contact Information

3345 S HOLMES AVE STE B
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 528-2858
Fax: (208) 528-8022

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Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Insurance Plans Accepted
  4. Authorized Official
  5. Areas of Expertise
  6. CLIA Information
  7. NPI Validation
  8. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 13D1049032
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-19-2027

About SUNNYSIDE SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Sunnyside Surgery Center, Llc, a provider established in Idaho Falls, Idaho operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1285825075 assigned on August 2007. The practitioner's primary taxonomy code is 261QA1903X with license number P140-7 (ID). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Michael K James Dpm (Owner)

NPI
1285825075
Provider Name
SUNNYSIDE SURGERY CENTER, LLC
Entity Type
Organization
Location Address
3345 S HOLMES AVE STE B IDAHO FALLS, ID 83404
Location Phone
(208) 528-2858
Location Fax
(208) 528-8022
Mailing Address
3345 S HOLMES AVE STE B IDAHO FALLS, ID 83404
Mailing Phone
(208) 528-2858
Mailing Fax
(208) 528-8022
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2007
Last Update Date
08-06-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
P140-7
License State
ID

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Moda Health Plan, Inc.

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO

PacificSource Health Plans

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO

University of Utah Health Plans

  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

Blue Cross Blue Shield

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL K JAMES DPM

Authorized Official Title
OWNER
Authorized Official Phone
(208) 528-2858

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00010151664OTHER (01)IDBLUE SHIELD
04804OTHER (01)IDBLUE CROSS
U27289MEDICARE UPIN (02)ID 
1870633MEDICARE PIN (08)ID 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Correction of bunion with 2 areas of realignment

A bunion correction with 2 areas of realignment is a surgical procedure to fix a bony bump on the foot. The surgery involves realigning the bone and joint, to relieve pain and improve foot function. The two areas of realignment help restore natural foot shape.

This service was performed 18 times for 15 patients

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 47 times for 22 patients

Incision of joint capsule of foot and toe

An incision of the joint capsule of the foot and toe is a procedure where a small cut is made to access the joint capsule in your foot or toe. This is often done to treat conditions like arthritis or injury. It can help to relieve pain and improve mobility.

This service was performed 20 times for 14 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D1049032
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 20, 2025
Certificate Expiration Date
December 19, 2027
Laboratory Director
MICHAEL K. JAMES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sunnyside Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SUNNYSIDE SURGERY CENTER, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285825075, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 6 + 2 + 1 + 0 + 0 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1285825075.

Frequently Asked Questions

What is SUNNYSIDE SURGERY CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1285825075, enumerated as an "organization" on August 06, 2007.

Where is the provider located?

The provider is located at 3345 S HOLMES AVE STE B IDAHO FALLS, ID 83404 and the phone number is (208) 528-2858.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

What insurance does SUNNYSIDE SURGERY CENTER, LLC accept?

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.