TRI CITY SURGERY CENTER LLC
NPI 1437101433
Clinic/Center - Ambulatory Surgical in Prescott, AZ

Active since May 17, 2006CLIA 03D1055909 · Waiver
5430 DISTINCTION WAY, PRESCOTT, AZ 86301(928) 445-1919(928) 445-5672 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tri City Surgery Center Llc NPPES

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

TRI CITY SURGERY CENTER LLC (NPI 1437101433) is a healthcare organization registered as an ambulatory surgical in Prescott, Arizona and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Karla Perry, Nurse Administrator, as its authorized official.

NPPES Registry Identity

NPI1437101433
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTRI CITY SURGERY CENTER LLC
Location Address5430 DISTINCTION WAYPrescott, AZ 86301-4454
Mailing Address5430 Distinction WayPrescott, AZ 86301-4454 · (928) 445-1919 · Fax (928) 445-5672
Fax(928) 445-5672
Organization SubpartNo
Authorized OfficialKarla PerryNurse Administrator · (928) 710-9626
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
NPI 1437101433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
5430 DISTINCTION WAY, Prescott, AZ 86301

Other Identifiers 1

Medicaid172190AZ

Accepted 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 03D1055909

Tri-City Surgery Center · Prescott, AZ
Active · expires Jun 28, 2028
CLIA Number03D1055909
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorRichard Pleva
Laboratory Phone(928) 445-1919
Laboratory LocationTri-City Surgery Center5430 Distinction Way, Prescott, AZ 86301
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 17

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
274 services274 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
178 services174 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
138 services138 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
110 services89 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
109 services76 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
78 services77 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
5430 DISTINCTION WAY
PRESCOTT, AZ 86301
Nurse Anesthetist, Certified Registered
5430 DISTINCTION WAY
PRESCOTT, AZ 86301

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 Tri City Surgery Center LLC's NPI number?

The NPI number for Tri City Surgery Center LLC is 1437101433. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Tri City Surgery Center LLC located?

Tri City Surgery Center LLC is located at 5430 Distinction Way, Prescott, AZ 86301. The listed phone number is (928) 445-1919.

What is Tri City Surgery Center LLC's specialty?

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

Does Tri City Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1055909) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri City Surgery Center LLC accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Tri City 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 Tri City Surgery Center LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.