NPIMap

Organization Active NPI

Surgicath LLC

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1013360320
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGICATH LLC
Practice address
3345 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410-4324
Phone
(561) 626-1881
Fax
(561) 721-8605
NPI assigned
Jul 21, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amarnath R Vedere, M.D.NPI 1437141272
Title
Managing Partner
Phone
(561) 793-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3345 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410-4324

Mailing address

PO Box 939
Loxahatchee, FL 33470-0939
Phone (561) 793-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161121000194 FL Part B Supplier - Ambulatory Surgical Center 0345529087 Practice locations: Palm Beach Gardens, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgicath LLCCCN 10C0001649
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3345 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 622-4900

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1013360320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334700939",
            "telephone_number": "561-793-6100",
            "fax_number": "561-793-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD",
            "address_2": "STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104324",
            "telephone_number": "561-626-1881",
            "fax_number": "561-721-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "VEDERE",
        "authorized_official_first_name": "AMARNATH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-793-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.