CORAL DESERT SURGERY CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1346205176

CORAL DESERT SURGERY CENTER LLC is a healthcare provider. based in St george, Utah. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 2005-ASF-52092 (UT). The NPI Number for CORAL DESERT SURGERY CENTER LLC is 1346205176

Main info

Organization
Name
CORAL DESERT SURGERY CENTER LLC
NPI
1346205176
Phone
(435) 674-5230
Address
1490 E FOREMASTER DR
Authorized Official
DAN NIELSON ADMINISTRATOR
Enumeration Date
17 April 2006
Last Update Date
9 June 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CORAL DESERT SURGERY CENTER LLC

  • Coral Desert Rehabilitation, 1490 E., Foremaster Drive, St. George, Washington County, Utah, 84690, United States

    BUILDING C

    ST GEORGE, UT 847904488

    Phone: (435) 674-5230

    Fax: (435) 674-5231

    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: 2004-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1043 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
O20040113000115OAmbulatory Surgical CenterUT2023-07-31

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
C9290Injection, bupivacaine liposome, 1 mg35,245136$0
27447Replacement of knee joint, both sides of knee114107$0
30140Removal of nasal air passage under lining tissue8442$0
50590Shock wave crushing of kidney stones7254$0
29881Removal of knee cartilage using an endoscope6362$0
View full utilization report →

Insurance plans in this area (ZIP 84790)

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Reviews

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Frequently asked questions

How is CORAL DESERT SURGERY CENTER LLC identified in CMS data?
CMS-hosted NPPES data lists CORAL DESERT SURGERY CENTER LLC with NPI 1346205176.
Does CMS list CORAL DESERT SURGERY CENTER LLC as active?
Yes — CORAL DESERT SURGERY CENTER LLC is active in the NPI listing used on this page.
What is CORAL DESERT SURGERY CENTER LLC's primary classification?
Ambulatory Surgical Clinic/Center is the headline specialty for CORAL DESERT SURGERY CENTER LLC here. Clinical services aligned with this taxonomy classification.
Does CORAL DESERT SURGERY CENTER LLC list a practice location?
Patients near St George, Utah may find CORAL DESERT SURGERY CENTER LLC 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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