Coral Ridge Outpatient Center – Ambulatory Surgical Clinic/Center, NPI 1114126596

Coral Ridge Outpatient Center is a healthcare provider. based in Oakland park, Florida. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 1310 (FL). The NPI Number for Coral Ridge Outpatient Center is 1114126596

Main info

Organization
Name
Coral Ridge Outpatient Center
NPI
1114126596
Phone
(954) 832-3300
Address
5301 N DIXIE HWY
Authorized Official
COLLIN LEMAISTRE OFFICER / AUTHORIZED OFFICIAL
Enumeration Date
16 July 2007
Last Update Date
6 September 2024

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness90
Years active:18State licenses:1Updated within 12 months

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Provider Addresses for Coral Ridge Outpatient Center

  • North Dixie Highway, Coral Woods, Oakland Park, Broward County, Florida, 33334, United States

    SUITE 100

    OAKLAND PARK, FL 333343403

    Phone: (954) 832-3300

    Fax: (954) 832-3301

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090612000060OAmbulatory Surgical CenterFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare685685$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope665650$0
45380Biopsy of large bowel using a flexible endoscope286286$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk231231$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk159158$0
View full utilization report →

Insurance plans in this area (ZIP 33334)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Coral Ridge Outpatient Center?
Coral Ridge Outpatient Center — NPI 1114126596 — is the standard way to identify this listing.
Is Coral Ridge Outpatient Center listed as active for patients and plans?
The listing shows Coral Ridge Outpatient Center as active in the NPI system.
What is Coral Ridge Outpatient Center's primary classification?
Ambulatory Surgical Clinic/Center is the headline specialty for Coral Ridge Outpatient Center here. Clinical services aligned with this taxonomy classification.
Does Coral Ridge Outpatient Center list a practice location?
Patients near Oakland Park, Florida may find Coral Ridge Outpatient Center in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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