Active NPI
Same Day Surgery Centers of Florida LLC
- Ambulatory Surgical Clinic/Center
- Zephyrhills, FL
National Provider Identifier
1376580498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- PENDING
- Legal business name
- SAME DAY SURGERY CENTERS OF FLORIDA LLC
- Practice address
- 6733 Gall Blvd
Zephyrhills, FL 33542-2519 - Phone
- (813) 783-8242
- Fax
- (813) 783-8240
- NPI assigned
- May 31, 2006
- 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
- Dr. Ahad Mahootchi, M.D.
- Title
- Medical Director
- Phone
- (813) 783-8242
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | PENDING | FL | Primary |
Addresses
Primary practice location
6733 Gall Blvd
Zephyrhills, FL 33542-2519
Mailing address
6733 Gall Blvd
Zephyrhills, FL 33542-2519
Phone (813) 783-8242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60Z | Other | FL | BCBS |
| 026267200 | Medicaid | FL |
Other names 1
- Same Day Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071210000416 | FL | Part B Supplier - Ambulatory Surgical Center | 3577652858 | Practice locations: Zephyrhills, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Same Day Surgery Center
- 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 |
|---|---|---|---|
| 10D1054756 | Same Day Surgery Centers of Florida LLC | Certificate of waiver | May 30, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Zephyrhills, FL
- NPI 1043218118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275523200000",
"number": "1376580498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6733 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335422519",
"telephone_number": "813-783-8242",
"fax_number": "813-783-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6733 GALL BLVD",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335422519",
"telephone_number": "813-783-8242",
"fax_number": "813-783-8240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAME DAY SURGERY CENTERS OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2010-06-03",
"status": "A",
"authorized_official_last_name": "MAHOOTCHI",
"authorized_official_first_name": "AHAD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-783-8242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "60Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026267200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Same Day Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.