AMSURG PORT ORANGE ANESTHESIA, LLC
NPI 1043654270
Anesthesiology in Port Orange, FL
About Amsurg Port Orange Anesthesia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMSURG PORT ORANGE ANESTHESIA, LLC (NPI 1043654270) is a healthcare organization registered as an anesthesiology in Port Orange, Florida and active in the NPI registry since April 2013. The organization lists Phillip A. Clendenin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amsurg Port Orange Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Amsurg Port Orange Anesthesia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 78Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Amsurg Port Orange Anesthesia, LLC's NPI number?
The NPI number for Amsurg Port Orange Anesthesia, LLC is 1043654270. It was assigned to this organization in the NPPES registry on April 18, 2013.
Where is Amsurg Port Orange Anesthesia, LLC located?
Amsurg Port Orange Anesthesia, LLC is located at 3635 S Clyde Morris Blvd Suite 500, Port Orange, FL 32129. The listed phone number is (386) 760-8151.
What is Amsurg Port Orange Anesthesia, LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Amsurg Port Orange Anesthesia, LLC enrolled in Medicare?
Yes. Amsurg Port Orange Anesthesia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amsurg Port Orange Anesthesia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 2 Medicare specialties reassign their Medicare billing to Amsurg Port Orange Anesthesia, LLC. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (56) and Anesthesiology (22). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Amsurg Port Orange Anesthesia, LLC was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Amsurg Port Orange Anesthesia, Llc · NPI 1043654270
Anesthesiology organization in Port Orange, Florida. Organization record, active in the CMS NPPES registry since April 18, 2013.
## Identity
- **NPI:** 1043654270 (Entity type: Organization)
- **Enumerated:** April 18, 2013
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Phillip Clendenin, PRESIDENT
## Practice location
- **Address:** 3635 S CLYDE MORRIS BLVD, SUITE 500, Port Orange, FL 32129-2300
- **Phone:** (386) 760-8151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (56), Anesthesiology (22); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1043654270/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2016
- **Other identifiers:** Medicare PIN HK631A (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1043654270) · Data from the CMS NPPES public registry.