Advanced Surgical & Weight Loss Institute LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME 94651 Issued in FL

Legal business name

ADVANCED SURGICAL & WEIGHT LOSS INSTITUTE LLC

Practice address

3165 Suntree Blvd Ste 101
Rockledge, FL 32955-5720

Phone

(321) 549-2000

Fax

(321) 549-2142

NPI assigned

Jan 16, 2014

Last updated

Jun 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diego Velarde, MDNPI 1215959721

Title

Owner

Phone

(321) 549-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBCFCA

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.

• Diego Velarde, MD

  • Surgery Physician
  • Rockledge, FL
  • NPI 1215959721
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1376965822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 SUNTREE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555720",
            "telephone_number": "321-549-2000",
            "fax_number": "321-549-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 SUNTREE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555720",
            "telephone_number": "321-549-2000",
            "fax_number": "321-549-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL & WEIGHT LOSS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "VELARDE",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-549-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 94651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sesha Rao Achanta
• Diego Acosta-Rubio
• John Michael Adams, LMT
• Stephanie Ann Adams, OTR/L
• Adaptive Behavioral Health LLC
• Saroj Aggarwal, MD
• Hani M Agrama, M.D.
• Francisco Javier Aguilo-Seara, M.D.
• Akmal Ahmed, D.D.S.
• Mariana Al Nasser

• Surgery Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.