NPIMap

Organization Active NPI

Baptist Health Surgery Center LLC

Doing business as Baptist Health Surgery Center at Bethesda West

  • Ambulatory Surgical Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1053971457
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BAPTIST HEALTH SURGERY CENTER LLC
Doing business as
Baptist Health Surgery Center at Bethesda West
Practice address
9868 S State Road 7 Ste 100
Boynton Beach, FL 33472-4472
Phone
(786) 662-7980
NPI assigned
Jun 18, 2019
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Nancy Batista-Rodriguez
Title
Ceo
Phone
(786) 662-7111

Specialties & licenses 1

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

Addresses

Primary practice location

9868 S State Road 7 Ste 100
Boynton Beach, FL 33472-4472

Mailing address

PO Box 198120
Atlanta, GA 30384-8120

Other names 1

  • Baptist Health Surgery Center at Bethesda West Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191010000626 FL Part B Supplier - Ambulatory Surgical Center 2466648134 Practice locations: Boynton Beach, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Baptist Health Surgery Center at Bethesda WestCCN 10C0001661
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2171822Baptist Health Surgery Center9868 S State Road 7 Ste 100, Boynton Beach, FL 33472AccreditationMay 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Baptist Health Endoscopy Center at Palm5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1053971457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9868 S STATE ROAD 7 STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724472",
            "telephone_number": "786-662-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "BATISTA-RODRIGUEZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-662-7111"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Surgery Center at Bethesda West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Surgery Center at Bethesda West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.