Active NPI
Surgicath LLC
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
National Provider Identifier
1013360320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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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.