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SURGERY CENTER OF PEORIA, LLC
NPI 1992706899
Clinic/Center - Ambulatory Surgical in Peoria, AZ

Active since August 02, 2005CLIA 03D0967686 · Waiver
13260 N 94TH DR, SUITE 200, PEORIA, AZ 85381(623) 933-2900(623) 933-0017 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2025, Sep 21, 2021, Oct 9, 2019 and 2 more (5 updates tracked since 2018).

About Surgery Center Of Peoria, Llc NPPES

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

SURGERY CENTER OF PEORIA, LLC (NPI 1992706899) is a healthcare organization registered as an ambulatory surgical in Peoria, Arizona and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1992706899
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF PEORIA, LLC
Location Address13260 N 94TH DR, SUITE 200Peoria, AZ 85381-4828
Mailing Address13260 N 94th Dr, Suite 200Peoria, AZ 85381-4828 · (623) 933-2900 · Fax (623) 933-0017
Phone(623) 933-2900
Fax(623) 933-0017
Organization SubpartNo
Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269
Enumeration DateAugust 2, 2005
Last NPPES UpdateSeptember 22, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1992706899 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 AZ · OSC0016
13260 N 94TH DR, Peoria, AZ 85381
Open in Google Maps ↗

Other Names 1

Other NameSurgery Center Of Peoria

Other Identifiers 2

Medicaid436883AZ
Other490003885AZ · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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 03D0967686

Surgery Center Of Peoria · Peoria, AZ
Active · expires Nov 18, 2027
CLIA Number03D0967686
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorDavid Simms MD
Laboratory Phone(623) 933-2900
Laboratory LocationSurgery Center Of Peoria13260 N 94th Dr Ste 200, Peoria, AZ 85381
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 10

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.

Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
67 services66 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
60 services31 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.
43 services28 patients
Reshaping of nasal cartilage 30520
Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.
32 services32 patients
Incision of nasal sinus using an endoscope 31256
This procedure, called endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera on the end, known as an endoscope. It's inserted into the nasal passages to view and remove obstructions in the sinuses, helping to alleviate symptoms.
26 services17 patients
Removal of nasal sinus tissue using an endoscope 31267
This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.
24 services18 patients

Other Providers at the Same Location NPPES 14

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

DR. THIMMAVAJJHALA SREECHARANA M.D.
Orthopaedic Surgery (Hand Surgery)
13260 N 94TH DR, SUITE 101
PEORIA, AZ 85381
Maricopa County (623) 933-2732
DR. WILLIAM M HAAS D.C.
Chiropractor
13260 N 94TH DR, SUITE 205
PEORIA, AZ 85381
Maricopa County (623) 583-6570
JESSICA ZAVALZA LMSW
Social Worker (Clinical)
13260 N 94TH DR
PEORIA, AZ 85381
Maricopa County (657) 201-2036
DR. JOHN M. RINEHART O.D.
Optometrist
13260 N 94TH DR
PEORIA, AZ 85381
Maricopa County (623) 974-2020
RICHARD OWEN HURT JR. PHD
Psychologist (Clinical)
13260 N 94TH DR
PEORIA, AZ 85381
Maricopa County (623) 487-7763
BETTY COBB-DALTON LCSW,LISAC
Counselor (Addiction (Substance Use Disorder))
13260 N 94TH DR, STE. 205
PEORIA, AZ 85381
Maricopa County (623) 556-9910
MCCORMICARE SPEECH THERAPY, INC
Speech-Language Pathologist
13260 N 94TH DR, SUITE 104
PEORIA, AZ 85381
Maricopa County (623) 974-8900
WILLIAM M HAAS DBA ACADIA HEALTH CLINIC
Family Medicine (Adult Medicine)
13260 N 94TH DR, SUITE 205
PEORIA, AZ 85381
Maricopa County (623) 583-6570

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 Surgery Center Of Peoria, LLC's NPI number?

The NPI number for Surgery Center Of Peoria, LLC is 1992706899. It was assigned to this organization in the NPPES registry on August 2, 2005. The provider is also known as Surgery Center of Peoria.

Where is Surgery Center Of Peoria, LLC located?

Surgery Center Of Peoria, LLC is located at 13260 N 94th Dr Suite 200, Peoria, AZ 85381. The listed phone number is (623) 933-2900.

What is Surgery Center Of Peoria, LLC's specialty?

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

Does Surgery Center Of Peoria, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0967686) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Peoria, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Surgery Center Of Peoria, 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 Surgery Center Of Peoria, LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.