Active NPI
Surgery Center of Coral Gables LLC
Doing business as Coral Gables Surgery Center
- Ambulatory Surgical Clinic/Center
- Miami, FL
National Provider Identifier
1093985525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1163
- Legal business name
- SURGERY CENTER OF CORAL GABLES LLC
- Doing business as
- Coral Gables Surgery Center
- Practice address
- 2645 Douglas Rd
Ste 400
Miami, FL 33133-2744 - Phone
- (305) 461-3229
- Fax
- (305) 461-3288
- NPI assigned
- Mar 12, 2008
- Last updated
- Sep 10, 2024
- 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
- Collin Lemaistre
- Title
- Officer/Authorized Official
- Phone
- (404) 781-2921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1163 | FL | Primary |
Addresses
Primary practice location
2645 Douglas Rd
Ste 400
Miami, FL 33133-2744
Mailing address
2645 Douglas Rd
Ste 400
Miami, FL 33133-2744
Phone (305) 461-3229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075439100 | Medicaid | FL |
Other names 1
- Coral Gables Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080306000117 | FL | Part B Supplier - Ambulatory Surgical Center | 9739187980 | Practice locations: Miami, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Coral Gables Surgery Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1518967231
Member Of
-
dba Baptist Health System
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1487633509
Member Of
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Surgery Physician
- Miami, FL
- NPI 1073612081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1093985525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 DOUGLAS RD",
"address_2": "STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332744",
"telephone_number": "305-461-3229",
"fax_number": "305-461-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 DOUGLAS RD",
"address_2": "STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331332744",
"telephone_number": "305-461-3229",
"fax_number": "305-461-3288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OF CORAL GABLES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "404-781-2921"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "1163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075439100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Coral Gables Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Coral Gables Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
- Surehealth Pharmacy, Inc
- Ananthakrishnan Suresh
- Santhanam Suresh, M.D
- Surf ABA
- Surgeon's Cosmetic Center & Medspa LLC (Surgeon's Ambulatory Surgical Center)
- Surgery Center of Coral Gables, LLC (Coral Gables Surgery Center)
- Surgery Center of North Miami LLC
- Surgey Center of North Dade, LLC (Pinnacle Surgical Care Center)
- Surgi-Med and Technology Development LLC
- Surgical Group of Miami LLC (Miami Vascular Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.