1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Clinic Center
  6. NPI Profile

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

Active since August 06, 2007CLIA 13D1049032 · Waiver
3345 S HOLMES AVE STE B, IDAHO FALLS, ID 83404(208) 528-2858(208) 528-8022 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunnyside Surgery Center, Llc NPPES

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

SUNNYSIDE SURGERY CENTER, LLC (NPI 1285825075) is a healthcare organization registered as an ambulatory surgical in Idaho Falls, Idaho and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Michael K James, Owner, as its authorized official.

NPPES Registry Identity

NPI1285825075
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUNNYSIDE SURGERY CENTER, LLC
Location Address3345 S HOLMES AVE STE BIdaho Falls, ID 83404-7981
Mailing Address3345 S Holmes Ave Ste BIdaho Falls, ID 83404-7981 · (208) 528-2858 · Fax (208) 528-8022
Phone(208) 528-2858
Fax(208) 528-8022
Organization SubpartNo
Authorized OfficialMichael K JamesOwner · (208) 528-2858
Enumeration DateAugust 6, 2007
✔ NPI 1285825075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in ID · P140-7
3345 S HOLMES AVE STE B, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Identifiers 4

Other00010151664ID · Blue Shield
Other04804ID · Blue Cross
Medicare UPINU27289ID
Medicare PIN1870633ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, University of Utah Health Plans.Insurance ›

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 13D1049032

Sunnyside Surgery Center · Idaho Falls, ID
Active · expires Dec 19, 2027
CLIA Number13D1049032
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorMichael K. James
Laboratory Phone(208) 528-2858
Laboratory LocationSunnyside Surgery Center3345 S Holmes Ave, Idaho Falls, ID 83404
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 2

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.

Correction of toe joint deformity 28285
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.
54 services20 patients
Partial removal of foot or heel bone 28122
This procedure involves the surgical removal of a portion of the foot or heel bone. It's typically done to treat conditions like arthritis, bone spurs, or injuries. The goal is to alleviate pain and improve mobility. After surgery, physical therapy may be necessary for full recovery.
14 services13 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 Sunnyside Surgery Center, LLC's NPI number?

The NPI number for Sunnyside Surgery Center, LLC is 1285825075. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Sunnyside Surgery Center, LLC located?

Sunnyside Surgery Center, LLC is located at 3345 S Holmes Ave Ste B, Idaho Falls, ID 83404. The listed phone number is (208) 528-2858.

What is Sunnyside Surgery Center, LLC's specialty?

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

Does Sunnyside Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1049032) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunnyside Surgery Center, LLC accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and University of Utah Health Plans list Sunnyside 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 Sunnyside Surgery Center, LLC was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.