Medical Village Surgical Center – Ambulatory Surgical Clinic/Center, NPI 1750331500

Medical Village Surgical Center is a healthcare provider. based in Tampa, Florida. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 1094 (FL). The NPI Number for Medical Village Surgical Center is 1750331500

Main info

Organization
Name
Medical Village Surgical Center
NPI
1750331500
Phone
(813) 871-9032
Address
2333 W HILLSBOROUGH AVE STE 120
Authorized Official
JENNIFER BOYD BALDOCK AUTHORIZED OFFICIAL
Enumeration Date
11 May 2006
Last Update Date
17 December 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Medical Village Surgical Center

  • West Hillsborough Avenue, Riverside Estates, Tampa, Hillsborough County, Florida, 33603, United States

    TAMPA, FL 336031052

    Phone: (813) 871-9032

    Fax: (813) 870-9543

    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: 2009-03-18

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
O20090318000591OAmbulatory 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
64493Injection of lower or sacral spine facet joint using imaging guidance, single level15861$0
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint11550$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level9451$0
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin7575$0
62323Injection of substance into lower spine canal using imaging guidance6858$0
View full utilization report →

Insurance plans in this area (ZIP 33603)

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Reviews

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Frequently asked questions

Can I verify Medical Village Surgical Center with an NPI only?
You can start verification with NPI 1750331500 for Medical Village Surgical Center, then check state licensing separately.
Is Medical Village Surgical Center still practicing?
Medical Village Surgical Center is currently listed as active in the public NPI registry.
What healthcare role does Medical Village Surgical Center hold?
Scheduling teams often label Medical Village Surgical Center under Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Medical Village Surgical Center based?
Medical Village Surgical Center is tied to Tampa, Florida in the data we show; additional addresses may exist on the full record.
Why does Medical Village Surgical Center have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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