Organization Active NPI

Height Street Ventures LLC

Doing business as Kennedy-White Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sarasota, FL
National Provider Identifier
1063216471
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HEIGHT STREET VENTURES LLC
Doing business as
Kennedy-White Surgery Center
Practice address
2851 Height Street
Sarasota, FL 34240
Phone
(941) 893-4900
Fax
(941) 298-0040
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Michael Moustoukas, MDNPI 1174804413
Title
Medical Director
Phone
(941) 893-4900

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

2851 Height Street
Sarasota, FL 34240

Mailing address

6050 Cattleridge Blvd Ste 201
Sarasota, FL 34232-6028
Phone (941) 893-4900

Other names 1

  • Kennedy-White Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260106001544 FL Part B Supplier - Ambulatory Surgical Center 7416443874 Practice locations: Sarasota, FL

Ambulatory surgical center certification: CCN 10C0001782

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KENNEDY-WHITE SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 9, 2026
Last certification
Jan 27, 2026
Facility address
2851 Height St
Sarasota, FL 34240

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
10D2328964Kennedy-White Surgery Center2851 Height Street, Sarasota, FL 34240Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

6050 Cattleridge Blvd
Ste 201
Sarasota, FL 34232
Phone (941) 365-0655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1063216471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 CATTLERIDGE BLVD STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326028",
            "telephone_number": "941-893-4900",
            "fax_number": "941-298-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 HEIGHT STREET",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "941-893-4900",
            "fax_number": "941-298-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHT STREET VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "MOUSTOUKAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-893-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy-White Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennedy-White Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.