AMBULATORY SURGERY CENTER OF BOCA RATON, LLC – Ambulatory Surgical Clinic/Center, NPI 1255486494

AMBULATORY SURGERY CENTER OF BOCA RATON, LLC is a healthcare provider. based in Boca raton, Florida. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for AMBULATORY SURGERY CENTER OF BOCA RATON, LLC is 1255486494

Main info

Organization
Name
AMBULATORY SURGERY CENTER OF BOCA RATON, LLC
NPI
1255486494
Phone
(561) 544-5501
Address
1905 CLINTMOORE ROAD
Authorized Official
MANISH GUPTA MEDICAL DIRECTOR MD
Enumeration Date
25 January 2007
Last Update Date
7 April 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for AMBULATORY SURGERY CENTER OF BOCA RATON, LLC

  • 1905 CLINTMOORE ROAD

    SUITE 300

    BOCA RATON, FL 33496

    Phone: (561) 544-5501

    Fax: (561) 544-5528

    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: 2007-07-03

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
O20070703000444OAmbulatory 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33496)

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Reviews

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Frequently asked questions

Can I use this page to confirm AMBULATORY SURGERY CENTER OF BOCA RATON, LLC's NPI?
Yes. AMBULATORY SURGERY CENTER OF BOCA RATON, LLC is listed with NPI 1255486494 in the public NPI dataset.
Does CMS list AMBULATORY SURGERY CENTER OF BOCA RATON, LLC as active?
Yes — AMBULATORY SURGERY CENTER OF BOCA RATON, LLC is active in the NPI listing used on this page.
What is AMBULATORY SURGERY CENTER OF BOCA RATON, LLC best known for clinically?
Directory data describes AMBULATORY SURGERY CENTER OF BOCA RATON, LLC with Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Does AMBULATORY SURGERY CENTER OF BOCA RATON, LLC list a practice location?
Patients near Boca Raton, Florida may find AMBULATORY SURGERY CENTER OF BOCA RATON, LLC in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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