Organization Active NPI

Advanced Surgical Care of Fort Myers LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1932884772
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ADVANCED SURGICAL CARE OF FORT MYERS LLC
Practice address
13195 Metro Pkwy Unit 12-16
Fort Myers, FL 33966-4810
Phone
(239) 236-2215
Fax
(239) 236-2219
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Steven Siegal, MDNPI 1952644908
Title
Ceo
Phone
(239) 236-2215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

13195 Metro Pkwy Unit 12-16
Fort Myers, FL 33966-4810

Mailing address

13195 Metro Pkwy Unit 12-16
Fort Myers, FL 33966-4810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205002908 FL Part B Supplier - Ambulatory Surgical Center 8527417336 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Myers, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Advanced Surgical Care of Fort Myers LLCCCN 10C0001751
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
10D2292135Advanced Surgical Care of Fort Myers LLC13195 Metro Pkwy Unit 12-16, Fort Myers, FL 33966Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1932884772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 METRO PKWY UNIT 12-16",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 METRO PKWY UNIT 12-16",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664810",
            "telephone_number": "239-236-2215",
            "fax_number": "239-236-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CARE OF FORT MYERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "SIEGAL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-236-2215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.