Surgery Center of Viera LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF VIERA LLC

Practice address

7955 Spyglass Hill Rd Ste B
Melbourne, FL 32940-8249

Phone

(321) 751-8700

Fax

(321) 775-1364

NPI assigned

Dec 5, 2013

Last updated

Mar 17, 2022By 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

Dr. Ara Jason Deukmedjian, M.D.NPI 1619079662

Title

Owner

Phone

(321) 751-8700

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Surgery Center of VieraCCN 10C0001587

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Ara Jason Deukmedjian, MD

  • Neurological Surgery Physician
  • Melbourne, FL
  • NPI 1619079662
  NPD Authorized official
• Hans Allen Berndes, MD

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1881679546
  NPD (past)
• Bharat C Patel, MD

  • Interventional Pain Medicine Physician
  • Orlando, FL
  • NPI 1457351322
  NPD (past)
• Karen M Rafferty, MD

  • Anesthesiology Physician
  • Vero Beach, FL
  • NPI 1154446078
  NPD (past)
• Lakshman Sundaram, MD, MPH

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1518268341
  NPD (past)

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1669803391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "321-751-8700",
            "fax_number": "321-775-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "321-751-8700",
            "fax_number": "321-775-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF VIERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "DEUKMEDJIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-751-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "P01410964",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "6ER",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5880893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suntree Pharmacy
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• Jessica Rose Super, MOT
• Superior Home Health Care Services, Inc
• Superior Home Health Care Sevices, Inc.
• Surgical Assist Management, LLC
• Surgical Robotics MD, P.a.
• David I Sutton, D.M.D.
• Deborah Sutton
• Antoneal Natois Swaby, PSYD

• Ambulatory Surgical Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.