CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC
NPI 1063131712
Clinic/Center - Ambulatory Surgical in Panama City, FL
About Cardiovascular Surgical Institute Of Nw Florida, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARDIOVASCULAR SURGICAL INSTITUTE OF NW FLORIDA, LLC (NPI 1063131712) is a healthcare organization registered as an ambulatory surgical in Panama City, Florida and active in the NPI registry since August 2022. The organization holds an CLIA Accreditation certificate valid through March 8, 2028 and lists Kimberley Mcillwain, Administrator, 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)
Cardiovascular Surgical Institute Of Nw Florida, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cardiovascular Surgical Institute Of NW Florida, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Accreditation 10D2326237
Cardiovascular Surgical Institute Of NW Florida · Panama City, 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 Cardiovascular Surgical Institute Of NW Florida, LLC's NPI number?
The NPI number for Cardiovascular Surgical Institute Of NW Florida, LLC is 1063131712. It was assigned to this organization in the NPPES registry on August 25, 2022.
Where is Cardiovascular Surgical Institute Of NW Florida, LLC located?
Cardiovascular Surgical Institute Of NW Florida, LLC is located at 625 W Baldwin Rd Ste D, Panama City, FL 32405. The listed phone number is (850) 820-7900.
What is Cardiovascular Surgical Institute Of NW Florida, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Cardiovascular Surgical Institute Of NW Florida, LLC enrolled in Medicare?
Yes. Cardiovascular Surgical Institute Of NW Florida, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cardiovascular Surgical Institute Of NW Florida, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiac Electrophysiology) reassigns their Medicare billing to Cardiovascular Surgical Institute Of NW Florida, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cardiovascular Surgical Institute Of NW Florida, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 10D2326237) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Cardiovascular Surgical Institute Of NW Florida, LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Cardiovascular Surgical Institute Of Nw Florida, Llc · NPI 1063131712
Ambulatory Surgical organization in Panama City, Florida. Organization record, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1063131712 (Entity type: Organization)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Kimberley Mcillwain, ADMINISTRATOR
## Practice location
- **Address:** 625 W BALDWIN RD STE D, Panama City, FL 32405-3359
- **Phone:** (850) 820-7900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiac Electrophysiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063131712) · Data from the CMS NPPES public registry.