Active NPI
Eha Surgery Center Sarasota
- Ambulatory Surgical Clinic/Center
- Sarasota, FL
National Provider Identifier
1245906403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EHA SURGERY CENTER SARASOTA
- Practice address
- 4947 Clark Rd
Sarasota, FL 34233-3252 - Phone
- (941) 792-2020
- NPI assigned
- Aug 18, 2021
- 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
- Kevin Becker
- Title
- Cfo
- Phone
- (914) 391-4921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4947 Clark Rd
Sarasota, FL 34233-3252
Mailing address
PO Box 11407
Birmingham, AL 35245-8575
Phone (864) 359-1308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211005000702 | FL | Part B Supplier - Ambulatory Surgical Center | 9537567680 | Practice locations: Sarasota, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eha Surgery Center Sarasota
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2241144 | Eha Surgery Center Sarasota, LLC | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1245906403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352458575",
"telephone_number": "864-359-1308",
"fax_number": "239-496-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4947 CLARK RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342333252",
"telephone_number": "941-792-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EHA SURGERY CENTER SARASOTA",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "914-391-4921"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.