Organization Active NPI

St Lukes Surgical Center Inc

Doing business as St. Luke's Surgical at Wesley Chapel

  • Ambulatory Surgical Clinic/Center
  • Lutz, FL
National Provider Identifier
1396454963
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ST LUKES SURGICAL CENTER INC
Doing business as
St. Luke's Surgical at Wesley Chapel
Practice address
25232 State Road 54
Lutz, FL 33559
Phone
(727) 943-3111
NPI assigned
Nov 22, 2022
Organization subpart
Yes
Parent organization
ST LUKES SURGICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mark H Lindberg
Title
Authorized Official
Phone
(727) 943-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

25232 State Road 54
Lutz, FL 33559

Mailing address

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111

Other names 1

  • ST. LUKE'S SURGICAL AT WESLEY CHAPEL Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.medfusion.net/stlukescataractlaserinstitute-25021/portal/#/user/login
CONNECT URL https://www.medfusion.net/stlukescataractlaserinstitute-25021/portal/#/user/login St Lukes Surgical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227001706 FL Part B Supplier - Ambulatory Surgical Center 4183696461 Practice locations: Lutz, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
10D2276558St Luke's Surgical Center Inc25232 State Road 54, Lutz, FL 33559Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Vella Bjoyner Gaito2 organizations share this tax ID, including this one
Part of
Vella Bjoyner Gaito

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25232 State Road 54
Lutz, FL 33559
Phone (727) 943-3111

Practitioners & affiliated clinicians

Practitioners 2

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": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1396454963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-943-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25232 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "727-943-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES SURGICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES SURGICAL CENTER",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-943-3323"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.medfusion.net/stlukescataractlaserinstitute-25021/portal/#/user/login",
            "affiliation": "N",
            "endpointDescription": "Patient portal",
            "address_1": "25232 State Road 54",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.medfusion.net/stlukescataractlaserinstitute-25021/portal/#/user/login",
            "affiliation": "Y",
            "endpointDescription": "Patient Portal",
            "affiliationName": "St Lukes Surgical Center Inc",
            "address_1": "43309 US Highway 19 N",
            "city": "Tarpon Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346896221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST. LUKE'S SURGICAL AT WESLEY CHAPEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.