FAMILY SURGICAL SUITE
NPI 1508040221
Clinic/Center - Ambulatory Surgical in West Jordan, UT
About Family Surgical Suite NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY SURGICAL SUITE (NPI 1508040221) is a healthcare organization registered as an ambulatory surgical in West Jordan, Utah and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Brian Jan Dehart, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Family Surgical Suite, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (15)
Murray, UT 84157
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 46D1086034
Family Surgical Suite · West Jordan, UTFrequently 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 1508040221. It was assigned to this organization in the NPPES registry on December 18, 2007.
Where is Family Surgical Suite located?
Family Surgical Suite is located at 8822 S Redwood Rd Suite 113, West Jordan, UT 84088. 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, 3 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 46D1086034) is associated with this NPI, valid through July 1, 2028. 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, Molina Healthcare, 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 December 18, 2007. 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.
# Family Surgical Suite · NPI 1508040221
Ambulatory Surgical organization in West Jordan, Utah. Organization record, active in the CMS NPPES registry since December 18, 2007.
## Identity
- **NPI:** 1508040221 (Entity type: Organization)
- **Enumerated:** December 18, 2007
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Brian Dehart, MANAGING MEMBER
## Practice location
- **Address:** 8822 S REDWOOD RD, SUITE 113, West Jordan, UT 84088-9336
- **Phone:** (801) 495-1064 · **Fax:** (801) 523-1139
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (8), Certified Registered Nurse Anesthetist (CRNA) (3), Dental Anesthesiology (2); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2007
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508040221) · Data from the CMS NPPES public registry.