SEACREST SURGICAL CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1407100480

SEACREST SURGICAL CENTER LLC is a healthcare provider. based in Boynton beach, Florida. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for SEACREST SURGICAL CENTER LLC is 1407100480

Main info

Organization
Name
SEACREST SURGICAL CENTER LLC
NPI
1407100480
Phone
(561) 735-7766
Address
2314 S. SEACREST BLVD.
Authorized Official
DR. KINGA EVA STYPEREK GROHMANN PRESIDENT-CEO M.D.
Enumeration Date
30 October 2012
Last Update Date
30 October 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for SEACREST SURGICAL CENTER LLC

  • 2314 S. SEACREST BLVD.

    SUITE 201

    BOYNTON BEACH, FL 33435

    Phone: (561) 735-7766

    Fax: (561) 732-2942

    Type: Mailing

  • 2314 S SEACREST BLVD

    SUITE 201

    BOYNTON BEACH, FL 334356788

    Phone: (561) 735-7766

    Fax: (561) 732-2942

    Type: Location

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: 2019-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-01-31 (134 days ago).

Enrollment records

1

Earliest due date

2026-01-31

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
O20190108003913OAmbulatory Surgical CenterFL2026-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 33435)

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Reviews

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Frequently asked questions

Can I cross-check SEACREST SURGICAL CENTER LLC using NPI 1407100480?
NPI 1407100480 belongs to SEACREST SURGICAL CENTER LLC; compare other details if you need extra assurance.
Would SEACREST SURGICAL CENTER LLC appear as active to a payer?
You can treat SEACREST SURGICAL CENTER LLC as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SEACREST SURGICAL CENTER LLC?
SEACREST SURGICAL CENTER LLC's specialty line reads Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Is SEACREST SURGICAL CENTER LLC located near Boynton Beach?
SEACREST SURGICAL CENTER LLC currently maps to Boynton Beach, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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