Organization Active NPI

Same Day Surgery Centers of Florida LLC

  • Ambulatory Surgical Clinic/Center
  • Zephyrhills, FL
National Provider Identifier
1376580498
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in FL
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

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Ahad Mahootchi, M.D.NPI 1043218118
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
60ZOtherFLBCBS
026267200MedicaidFL

Other names 1

  • Same Day 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
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 CenterCCN 10C0001501
Medicare certification status
ActiveFrom the Provider of Services file

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
10D1054756Same Day Surgery Centers of Florida LLC6733 Gall Blvd, Zephyrhills, FL 33542Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.