NPIMap

Organization Active NPI

Baptist Surgery and Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1477070340
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC
Practice address
1905 Clint Moore Rd Ste 115
Boca Raton, FL 33496-2659
Phone
(561) 509-5084
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Ms. Patricia Rosello
Title
Chief Executive Officer
Phone
(786) 662-7111

Specialties & licenses 1

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

Addresses

Primary practice location

1905 Clint Moore Rd Ste 115
Boca Raton, FL 33496-2659

Mailing address

6855 Red Road
Coral Gables, FL 33143-3632
Phone (786) 662-7980

Other names 1

  • Baptist Health Surgery Center at South Palm Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171207003246 FL Part B Supplier - Ambulatory Surgical Center 9830113133 Practice locations: Boca Raton, FL

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Baptist Surgery and Endoscopy Centers LLC Dba Baptist Health Surgery Center at South PalmCCN 10C0001478
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
10D1053973Baptist Surgery and Endoscopy Centers, LLC1905 Clint Moore Rd Ste 115, Boca Raton, FL 33496Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Baptist Eye Surgery Center at Sunrise8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1477070340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 RED ROAD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433632",
            "telephone_number": "786-662-7980",
            "fax_number": "786-533-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 115",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962659",
            "telephone_number": "561-509-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "786-662-7111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Surgery Center at South Palm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.