PROMENADES SURGERY CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1336181742

PROMENADES SURGERY CENTER LLC is a healthcare provider. based in Port charlotte, Florida. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 1149 (FL). The NPI Number for PROMENADES SURGERY CENTER LLC is 1336181742

Main info

Organization
Name
PROMENADES SURGERY CENTER LLC
NPI
1336181742
Phone
(941) 627-5155
Address
3222 TAMIAMI TRL
Authorized Official
DR. ISSA F BAROUDI MEDICAL DIRECTOR M.D.
Enumeration Date
11 June 2006
Last Update Date
14 January 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PROMENADES SURGERY CENTER LLC

  • 3222, Tamiami Trail, Port Charlotte, Charlotte County, Florida, 33952, United States

    PORT CHARLOTTE, FL 339528048

    Phone: (941) 627-5155

    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: 2006-08-09

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
O20060809000101OAmbulatory 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
15220Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less3529$0
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm3227$0
12052Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm3229$0
11642Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm2625$0
15240Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less2523$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Reviews

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Frequently asked questions

What is the registry number for PROMENADES SURGERY CENTER LLC?
The registry entry for PROMENADES SURGERY CENTER LLC shows NPI 1336181742.
Does the public listing show PROMENADES SURGERY CENTER LLC as active?
PROMENADES SURGERY CENTER LLC's NPI record reflects an active status in NPPES.
What does the directory say PROMENADES SURGERY CENTER LLC does?
Insurance directories may phrase it differently, but here PROMENADES SURGERY CENTER LLC maps to Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Can patients visit PROMENADES SURGERY CENTER LLC in Port Charlotte, Florida?
For routing, start with Port Charlotte, Florida for PROMENADES SURGERY CENTER LLC, then verify phone and hours locally.
Who maintains PROMENADES SURGERY CENTER LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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