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PALM BEACH GENERAL SURGERY LLC
NPI 1235326760
Surgery in Loxahatchee, FL

Active since September 28, 2007CLIA 10D2001662 · Waiver
12983 SOUTHERN BLVD, LOXAHATCHEE, FL 33470(561) 439-0961(561) 439-0963 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Palm Beach General Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALM BEACH GENERAL SURGERY LLC (NPI 1235326760) is a healthcare organization registered as a surgery in Loxahatchee, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Gary Duncan, Vp, as its authorized official.

NPPES Registry Identity

NPI1235326760
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePALM BEACH GENERAL SURGERY LLC
Location Address12983 SOUTHERN BLVDLoxahatchee, FL 33470-9207
Mailing Address12983 Southern BlvdLoxahatchee, FL 33470-9207 · (561) 439-0961 · Fax (561) 439-0963
Phone(561) 439-0961
Fax(561) 439-0963
Organization SubpartNo
Authorized OfficialGary DuncanVp · (561) 439-0961
Enumeration DateSeptember 28, 2007
Last NPPES UpdateJune 4, 2009
✔ NPI 1235326760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12983 SOUTHERN BLVD, Loxahatchee, FL 33470
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Other Identifiers 1

OtherP00686505FL · Rr Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palm Beach General Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

67

Medicare enrollment records show 67 clinicians reassign Medicare billing to Palm Beach General Surgery LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

General Surgery24
Nurse Practitioner22
Gastroenterology10
Vascular Surgery4
Colorectal Surgery (Proctology)3
Plastic and Reconstructive Surgery2
Cardiovascular Disease (Cardiology)1
Surgical Oncology1

Nearest to this location (20)

See all 67
Ali Sedagheh Pakravan, M.D.
Gastroenterology
NPI 1639350622
12953 PALMS WEST DR SUITE 201
Loxahatchee, FL 33470
(561) 795-5130
✔ PECOS✔ Accepts Medicare0.1 mi
Mariliz Britton, ARNP
Nurse Practitioner
NPI 1053840090
12953 PALMS WEST DR STE 201
Loxahatchee, FL 33470
(561) 795-5130
✔ PECOS✔ Accepts Medicare0.1 mi
Lisdey Crispin, FNP
Nurse Practitioner
NPI 1821896986
12953 PALMS WEST DR STE 201
Loxahatchee, FL 33470
(561) 439-0961
✔ PECOS✔ Accepts Medicare0.1 mi
Aviv Katz, D.O.
Gastroenterology
NPI 1831344415
12953 PALMS WEST DRIVE SUITE 201
Loxahatchee, FL 33470
(561) 795-5130
✔ PECOS✔ Accepts Medicare0.1 mi
Allison Rice, M.D.
General Surgery
NPI 1730610809
12955 PALMS WEST DR STE 201
Loxahatchee, FL 33470
(908) 415-2249
✔ PECOS✔ Accepts Medicare0.1 mi
James Goad, M.D.
General Surgery
NPI 1861562183
12953 PALMS WEST DR SUITE 201
Loxahatchee, FL 33470
(561) 795-5130
✔ PECOS✔ Accepts Medicare0.3 mi
Jamie Mazon, ARNP
Nurse Practitioner
NPI 1134964786
14196 77TH PL N
Loxahatchee, FL 33470
✔ PECOS7.5 mi
June Lee, MD
General Surgery
NPI 1285892406
130 JOHN F KENNEDY DR STE 132
Atlantis, FL 33462
(561) 510-2337
✔ PECOS✔ Accepts Medicare9.7 mi
Julian Berrocal, MD
General Surgery
NPI 1164711479
4685 S CONGRESS AVE STE 201
Palm Springs, FL 33461
(561) 548-8600
✔ PECOS✔ Accepts Medicare11 mi
Agnieszka Dombrowska, D.O.
General Surgery
NPI 1164860466
4685 S CONGRESS AVE STE 201
Palm Springs, FL 33461
(561) 548-8600
✔ PECOS✔ Accepts Medicare11 mi
Adam Dhedhi
Gastroenterology
NPI 1427436831
160 JFK DR STE 102
Atlantis, FL 33462
(561) 439-0961
✔ PECOS✔ Accepts Medicare11 mi
Arvind Kapila, MD
Cardiovascular Disease (Cardiology)
NPI 1730157553
180 JFK DR STE 320
Atlantis, FL 33462
(561) 548-4900
✔ PECOS✔ Accepts Medicare11 mi
Carlos Leon, MD
Gastroenterology
NPI 1982694030
160 JFK DR STE 102
Atlantis, FL 33462
(561) 439-0961
✔ PECOS✔ Accepts Medicare11 mi
Kayode Olowe, M.D.
Gastroenterology
NPI 1427246628
160 JFK DR SUITE 102
Atlantis, FL 33462
(561) 439-0961
✔ PECOS✔ Accepts Medicare11 mi
Vivian Rosa, ARNP
Nurse Practitioner
NPI 1245781624
160 JFK DR SUITE 102
Atlantis, FL 33462
(561) 439-0961
✔ PECOS✔ Accepts Medicare11 mi
Heather Baldriche, APRN
Nurse Practitioner
NPI 1720646003
5503 S CONGRESS AVE STE 206
Lake Worth, FL 33462
(561) 964-1632
✔ PECOS✔ Accepts Medicare11 mi
Annette Montes-Lopez, ARNP
Nurse Practitioner
NPI 1194145581
4631 N CONGRESS AVE STE 202
West Palm Beach, FL 33407
(561) 530-1725
✔ PECOS✔ Accepts Medicare11 mi
Heidi Bahna, MD
Colorectal Surgery (Proctology)
NPI 1215176474
5511 S CONGRESS AVE STE 105
Atlantis, FL 33462
(561) 964-1632
✔ PECOS✔ Accepts Medicare11 mi
Chadwick Rastatter, M.D.
General Surgery
NPI 1295016350
5511 S CONGRESS AVE STE 105
Atlantis, FL 33462
(561) 964-1632
✔ PECOS✔ Accepts Medicare11 mi
Kenneth Larson, M. D.
General Surgery
NPI 1659451441
5511 S CONGRESS AVE SUITE 105
Atlantis, FL 33462
(561) 964-1635
✔ PECOS✔ Accepts Medicare12 mi
See all 67 clinicians

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 10D2001662

Palm Beach General Surgery LLC · Loxahatchee, FL
Active · expires Dec 27, 2027
CLIA Number10D2001662
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorMichael J. Monzel
Laboratory Phone(561) 795-5130
Laboratory LocationPalm Beach General Surgery LLC12953 Palms West Dr Ste 201, Loxahatchee, FL 33470
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Palm Beach General Surgery LLC's NPI number?

The NPI number for Palm Beach General Surgery LLC is 1235326760. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is Palm Beach General Surgery LLC located?

Palm Beach General Surgery LLC is located at 12983 Southern Blvd, Loxahatchee, FL 33470. The listed phone number is (561) 439-0961.

What is Palm Beach General Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Palm Beach General Surgery LLC enrolled in Medicare?

Yes. Palm Beach General Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palm Beach General Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 8 Medicare specialties reassign their Medicare billing to Palm Beach General Surgery 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 General Surgery (24), Nurse Practitioner (22) and Gastroenterology (10). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Palm Beach General Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2001662) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palm Beach General Surgery LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Palm Beach General Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palm Beach General Surgery LLC was last updated on June 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.