Active NPI
Naples Surgicenter, LLC
- Ambulatory Surgical Clinic/Center
- Naples, FL
National Provider Identifier
1184474892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NAPLES SURGICENTER, LLC
- Practice address
- 11161 Health Park Blvd
Naples, FL 34110-5730 - Phone
- (239) 234-2620
- Fax
- (239) 234-2622
- NPI assigned
- Mar 25, 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
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
11161 Health Park Blvd
Naples, FL 34110-5730
Mailing address
11161 Health Park Blvd
Naples, FL 34110-5730
Phone (239) 234-2620
Other names 1
- Surgery Center of Naples
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260402001431 | FL | Part B Supplier - Ambulatory Surgical Center | 3870078280 | Practice locations: Naples, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2131011 | Naples Surgicenter, LLC Dba | Certificate of waiver | May 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
11161 Health Park Blvd
Naples, FL 34110
Phone (239) 234-2620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1184474892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11161 HEALTH PARK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105730",
"telephone_number": "239-234-2620",
"fax_number": "239-234-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11161 HEALTH PARK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105730",
"telephone_number": "239-234-2620",
"fax_number": "239-234-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAPLES SURGICENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "972-789-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgery Center of Naples",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naples, FL
- Naples Speech and Cognitive Therapy LLC
- Naples Spine & Joint LLC
- Naples Studio for Cosmetic & General Dentistry P.a.
- Naples Suncoast Surgery Center, LLC
- Naples Surgical Associates PA
- Naples Therapy Center, LLC
- Naples Urgent Care PL
- Naples Urology Associates, P.a.
- Naples Urology Specialists, LLC
- Naples Vascular Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.