Active NPI
Childrens Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Maitland, FL
National Provider Identifier
1730401571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CHILDRENS SURGERY CENTER LLC
- Doing business as
- AdventHealth Surgery Center Maitland
- Practice address
- 790 Concourse Pkwy S Ste 100
Maitland, FL 32751-6114 - Phone
- (407) 691-3331
- NPI assigned
- Feb 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Kosko, MD
- Title
- Medical Director
- Phone
- (407) 253-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
790 Concourse Pkwy S Ste 100
Maitland, FL 32751-6114
Mailing address
790 Concourse Pkwy S Ste 100
Maitland, FL 32751-6114
Phone (407) 691-3331
Other names 2
- AdventHealth Surgery Center Maitland
- CHILDRENS SURGERY CENTER LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100916001341 | FL | Part B Supplier - Ambulatory Surgical Center | 4284759093 | Practice locations: Maitland, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Maitland Surgery Center
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2007355 | Childrens Surgery Center LLC Dba Adventhealth | Certificate of waiver | May 13, 2028 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1730401571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 CONCOURSE PKWY S STE 100",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327516114",
"telephone_number": "407-691-3331",
"fax_number": "407-691-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CONCOURSE PKWY S STE 100",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327516114",
"telephone_number": "407-691-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "KOSKO",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "407-253-1000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AdventHealth Surgery Center Maitland",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AdventHealth Surgery Center Maitland",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CHILDRENS SURGERY CENTER LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.