PEACE RIVER SURGERY CENTER
NPI 1467101907
Clinic/Center - Ambulatory Surgical in Port Charlotte, FL

Q: What is Peace River Surgery Center's NPI number?

The NPI number for Peace River Surgery Center is 1467101907. It was assigned to this organization in the NPPES registry on March 22, 2022.

Q: What is Peace River Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since March 22, 2022CLIA 10D2255056 · Accreditation

4130 TAMIAMI TRL UNIT 301, PORT CHARLOTTE, FL 33952(941) 629-5356(941) 629-4987 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2023, Mar 8, 2023 (2 updates tracked since 2023).

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About Peace River Surgery Center NPPES

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

PEACE RIVER SURGERY CENTER (NPI 1467101907) is a healthcare organization registered as an ambulatory surgical in Port Charlotte, Florida and active in the NPI registry since March 2022. The organization holds an CLIA Accreditation certificate valid through March 28, 2027 and lists Nicolai Mejevoi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467101907

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePEACE RIVER SURGERY CENTER

Location Address4130 TAMIAMI TRL UNIT 301Port Charlotte, FL 33952-9207

Mailing Address4130 Tamiami Trl Unit 301Port Charlotte, FL 33952-9207 · (941) 629-5356 · Fax (941) 629-4987

Phone(941) 629-5356

Fax(941) 629-4987

Organization SubpartNo

Authorized OfficialNicolai MejevoiMedical Director · (941) 629-5356

Enumeration DateMarch 22, 2022

Last NPPES UpdateApril 26, 20232 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1467101907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

4130 TAMIAMI TRL UNIT 301, Port Charlotte, FL 33952

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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 ›

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 10D2255056

Peace River Surgery Center, LLC · Port Charlotte, FL

Active · expires Mar 28, 2027

CLIA Number10D2255056

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 29, 2025

Certificate Expiration DateMarch 28, 2027

Laboratory DirectorDr. David J. Hotchkiss

Laboratory Phone(941) 629-5356

Laboratory LocationPeace River Surgery Center, LLC4130 Tamiami Trail Suite 301, Port Charlotte, FL 33952

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

46 services46 patients

Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch C9600

This procedure involves threading a small tube through a blood vessel to your heart to open a blocked artery. A drug-eluting stent, a tiny mesh tube that releases medication, is then placed in the artery to keep it open and improve blood flow to your heart.

15 services14 patients

Insertion of heart rhythm monitor under skin 33285

The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.

14 services14 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

12 services12 patients

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 Peace River Surgery Center's NPI number?

The NPI number for Peace River Surgery Center is 1467101907. It was assigned to this organization in the NPPES registry on March 22, 2022.

Where is Peace River Surgery Center located?

Peace River Surgery Center is located at 4130 Tamiami Trl Unit 301, Port Charlotte, FL 33952. The listed phone number is (941) 629-5356.

What is Peace River Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Peace River Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2255056) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peace River Surgery Center accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Peace River Surgery Center 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 Peace River Surgery Center was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.