Wilshire Surgery Center, LLC
NPI 1417278011 · Ambulatory Surgical Clinic/Center · Portland, OR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wilshire Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Portland, OR (NPI 1417278011).
Provider details
- NPI number
- 1417278011
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Fatheree, Revenue /Credentialing Specialist(503) 688-5187
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
- 2010-06-17
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Frequently asked questions
- What is Wilshire Surgery Center, LLC's NPI number?
- Wilshire Surgery Center, LLC's National Provider Identifier (NPI) is 1417278011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilshire Surgery Center, LLC?
- Wilshire Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wilshire Surgery Center, LLC located?
- Wilshire Surgery Center, LLC's practice location on file with NPPES is 9775 Sw Wilshire St, Portland, OR 97225-5020.
- What is Wilshire Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wilshire Surgery Center, LLC is (503) 688-5187.
- Does Wilshire Surgery Center, LLC accept Medicare?
- Wilshire Surgery Center, LLC 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 Wilshire Surgery Center, LLC?
- The authorized official listed on Wilshire Surgery Center, LLC's NPPES record is Stephanie Fatheree, Revenue /Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilshire Surgery Center, LLC's NPI active?
- Yes — Wilshire Surgery Center, LLC's NPI (1417278011) is active in the NPPES registry as of the last update on 2022-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.