Southern Idaho Surgery Center PLLC
NPI 1396069902 · Ambulatory Surgical Clinic/Center · Meridian, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Idaho Surgery Center PLLC is a Ambulatory Surgical Clinic/Center organization in Meridian, ID (NPI 1396069902).
Provider details
- NPI number
- 1396069902
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marlon Michel, President(208) 895-6611
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-25
- Last updated
- 2012-07-09
Frequently asked questions
- What is Southern Idaho Surgery Center PLLC's NPI number?
- Southern Idaho Surgery Center PLLC's National Provider Identifier (NPI) is 1396069902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Idaho Surgery Center PLLC?
- Southern Idaho Surgery Center PLLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Idaho Surgery Center PLLC located?
- Southern Idaho Surgery Center PLLC's practice location on file with NPPES is 3235 N Towerbridge Way Ste 100, Meridian, ID 83646-5721.
- What is Southern Idaho Surgery Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Idaho Surgery Center PLLC is (208) 895-6611.
- Does Southern Idaho Surgery Center PLLC accept Medicare?
- Southern Idaho Surgery Center PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Idaho Surgery Center PLLC?
- The authorized official listed on Southern Idaho Surgery Center PLLC's NPPES record is Marlon Michel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Idaho Surgery Center PLLC's NPI active?
- Yes — Southern Idaho Surgery Center PLLC's NPI (1396069902) is active in the NPPES registry as of the last update on 2012-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.