SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD, PA
NPI 1376689232
Surgery in Venice, FL

Q: What is Surgical Associates Of Venice And Englewood, PA's specialty?

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

Active since January 29, 2007CLIA 10D2281678 · Waiver

436 NOKOMIS AVE S, VENICE, FL 34285(941) 488-7742(941) 484-7756 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2021, Jun 21, 2018, Dec 18, 2017 and 1 more (4 updates tracked since 2016).

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About Surgical Associates Of Venice And Englewood, Pa NPPES

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

SURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD, PA (NPI 1376689232) is a healthcare organization registered as a surgery in Venice, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 9, 2027, maintains 5 additional practice locations, and lists Debbie Long, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1376689232

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL ASSOCIATES OF VENICE AND ENGLEWOOD, PA

Location Address436 NOKOMIS AVE SVenice, FL 34285-2617

Mailing Address436 Nokomis Ave SVenice, FL 34285-2617 · (941) 445-5054 · Fax (941) 303-6796

Phone(941) 488-7742

Fax(941) 484-7756

Organization SubpartNo

Authorized OfficialDebbie LongPractice Administrator · (941) 484-7506

Enumeration DateJanuary 29, 2007

Last NPPES UpdateMarch 14, 20224 updates tracked since enumeration

NPPES CertifiedMarch 14, 2022

✔ NPI 1376689232 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.

436 NOKOMIS AVE S, Venice, FL 34285

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Secondary Practice Locations 5

Location 12540 Tamiami TrlSarasota, FL 34239-4501 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 21201 Jacaranda BlvdVenice, FL 34292-4535 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 31283 Jacaranda BlvdVenice, FL 34292-4522 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 4540 The RialtoVenice, FL 34285-2900 · Phone (941) 445-5054 · Fax (941) 303-6796

Location 52600 Laurel Rd ENorth Venice, FL 34275-3226 · Phone (941) 445-5054 · Fax (941) 303-6796

Other Identifiers 2

Other00778FL · Blue Cross Blue Shield

OtherCB1948FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Surgical Associates Of Venice And Englewood, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Surgical Associates Of Venice And Englewood, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Issam Halaby, M.D.,PH.D.

General Surgery

NPI 1861566119

436 NOKOMIS AVE S
Venice, FL 34285

(941) 445-5054

✔ PECOS✔ Accepts MedicareSame address

Andrew Oliver, D.O.

General Surgery

NPI 1659639672

436 NOKOMIS AVE S
Venice, FL 34285

(941) 445-5054

✔ PECOS✔ Accepts MedicareSame address

Jennifer Bigelow, ARNP

Nurse Practitioner

NPI 1942613054

2343 AARON ST
Port Charlotte, FL 33952

(941) 629-2900

✔ PECOS✔ Accepts Medicare22 mi

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 10D2281678

Surgical Associates Of Venice And Englewood, PA · Venice, FL

Active · expires May 9, 2027

CLIA Number10D2281678

Laboratory TypePhysician Office

Certificate Effective DateMay 10, 2025

Certificate Expiration DateMay 9, 2027

Laboratory DirectorIssam A. Halaby

Laboratory Phone(941) 445-5054

Laboratory LocationSurgical Associates Of Venice And Englewood, PA512 Nokomis Ave S, Venice, FL 34285

CLIA data matches this NPI record on: Name Phone

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 Surgical Associates Of Venice And Englewood, PA's NPI number?

The NPI number for Surgical Associates Of Venice And Englewood, PA is 1376689232. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Surgical Associates Of Venice And Englewood, PA located?

Surgical Associates Of Venice And Englewood, PA is located at 436 Nokomis Ave S, Venice, FL 34285. The listed phone number is (941) 488-7742.

What is Surgical Associates Of Venice And Englewood, PA's specialty?

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

Is Surgical Associates Of Venice And Englewood, PA enrolled in Medicare?

Yes. Surgical Associates Of Venice And Englewood, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Associates Of Venice And Englewood, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Surgical Associates Of Venice And Englewood, PA, in General Surgery and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Surgical Associates Of Venice And Englewood, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2281678) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgical Associates Of Venice And Englewood, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Surgical Associates Of Venice And Englewood, PA 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 Surgical Associates Of Venice And Englewood, PA was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.