Active NPI
St Lukes Surgical Center Inc
Doing business as St. Luke's Surgical at Wesley Chapel
- Ambulatory Surgical Clinic/Center
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Ambulatory Surgical Clinic/Center
- Tarpon Springs, FL
- NPI 1043205040
4183696461
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 |
|---|---|---|---|
| 10D2276558 | St Luke's Surgical Center Inc | Certificate of waiver | Feb 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Vella Bjoyner Gaito
- 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.
-
- Ambulatory Surgical Clinic/Center
- Tarpon Springs, FL
- NPI 1043205040
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.
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1053306035
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1235124645
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.