REVIVE SURGICENTER LLC
NPI 1023816774
Clinic/Center - Ambulatory Surgical in Pompano Beach, FL
About Revive Surgicenter Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE SURGICENTER LLC (NPI 1023816774) is a healthcare organization registered as an ambulatory surgical in Pompano Beach, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Dane Pohlman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revive Surgicenter Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Revive Surgicenter LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2328730
Revive Surgicenter LLC · Pompano Beach, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Revive Surgicenter LLC's NPI number?
The NPI number for Revive Surgicenter LLC is 1023816774. It was assigned to this organization in the NPPES registry on March 6, 2025.
Where is Revive Surgicenter LLC located?
Revive Surgicenter LLC is located at 1347 E Sample Rd Ste B, Pompano Beach, FL 33064. The listed phone number is (314) 283-8738.
What is Revive Surgicenter LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Revive Surgicenter LLC enrolled in Medicare?
Yes. Revive Surgicenter LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Surgicenter LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Revive Surgicenter LLC, in Anesthesiology, Certified Registered Nurse Anesthetist (CRNA), Pain Management and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Revive Surgicenter LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2328730) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Revive Surgicenter LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Revive Surgicenter Llc · NPI 1023816774
Ambulatory Surgical organization in Pompano Beach, Florida. Organization record, active in the CMS NPPES registry since March 6, 2025.
## Identity
- **NPI:** 1023816774 (Entity type: Organization)
- **Enumerated:** March 6, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Dane Pohlman, OWNER
## Practice location
- **Address:** 1347 E SAMPLE RD STE B, Pompano Beach, FL 33064-6278
- **Phone:** (314) 283-8738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pain Management (2), Physical Medicine and Rehabilitation (2), Anesthesiology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023816774) · Data from the CMS NPPES public registry.