SHADYSIDE SURGI-CENTER, INC.
NPI 1952408783
Clinic/Center - Ambulatory Surgical in Pittsburgh, PA

Q: What is Shadyside Surgi-Center, Inc.'s NPI number?

The NPI number for Shadyside Surgi-Center, Inc. is 1952408783. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is Shadyside Surgi-Center, Inc.'s specialty?

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

Active since September 20, 2006CLIA 39D2334023 · Waiver

5727 CENTRE AVE, PITTSBURGH, PA 15206(412) 363-6626(412) 363-7008 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shadyside Surgi-center, Inc. NPPES

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

SHADYSIDE SURGI-CENTER, INC. (NPI 1952408783) is a healthcare organization registered as an ambulatory surgical in Pittsburgh, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Raymond A Capone, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1952408783

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSHADYSIDE SURGI-CENTER, INC.

Location Address5727 CENTRE AVEPittsburgh, PA 15206-3707

Mailing Address5727 Centre AvePittsburgh, PA 15206-3707 · (412) 363-6626 · Fax (412) 363-7008

Phone(412) 363-6626

Fax(412) 363-7008

Organization SubpartNo

Authorized OfficialRaymond A CaponeMedical Director · (412) 363-6626

Enumeration DateSeptember 20, 2006

Last NPPES UpdateSeptember 26, 2013

✔ NPI 1952408783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

5727 CENTRE AVE, Pittsburgh, PA 15206

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Other Identifiers 3

Other0177PA · Highmark Id

Medicaid001506187002PA

Medicare ID-Type Unspecified391049PA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadyside Surgi-center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StatePennsylvaniaEnrollment IDO20140204000953Non-DME Part B · Ambulatory Surgical CenterDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 39D2334023

Shadyside Surgi-Center · Pittsburgh, PA

Active · expires Nov 13, 2027

CLIA Number39D2334023

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 14, 2025

Certificate Expiration DateNovember 13, 2027

Laboratory DirectorDr. Avery C. Capone

Laboratory Phone(412) 363-6626

Laboratory LocationShadyside Surgi-Center5727 Centre Ave, Pittsburgh, PA 15206

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

AVERY C CAPONE MD

Plastic Surgery