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LIVE OAK ENDOSCOPY CENTER, LLC
NPI 1548254402
Clinic/Center - Ambulatory Surgical in Vero Beach, FL

Active since September 07, 2005CLIA 10D1003366 · Waiver
275 18TH ST, SUITE 101, VERO BEACH, FL 32960(772) 299-5005(772) 299-1340 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Live Oak Endoscopy Center, Llc NPPES

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

LIVE OAK ENDOSCOPY CENTER, LLC (NPI 1548254402) is a healthcare organization registered as an ambulatory surgical in Vero Beach, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 27, 2028 and lists William J Mccormack, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1548254402
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLIVE OAK ENDOSCOPY CENTER, LLC
Location Address275 18TH ST, SUITE 101Vero Beach, FL 32960-5555
Mailing Address275 18th St, Suite 101Vero Beach, FL 32960-5555 · (772) 299-5005 · Fax (772) 299-1340
Phone(772) 299-5005
Fax(772) 299-1340
Organization SubpartNo
Authorized OfficialWilliam J MccormackC.e.o. · (772) 299-5005
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJune 8, 2009
✔ NPI 1548254402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in FL · 1154
275 18TH ST, Vero Beach, FL 32960
Open in Google Maps ↗

Other Identifiers 7

Other490005670FL · Railroad Medicare
Other6B6FL · Bc Bs Florida
Medicare ID-Type UnspecifiedF1380FL
OtherA2882678Oxford Health Plan
Medicaid075390400FL
Medicare UPINX80779FL
Other4677223Cigna

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)

Live Oak Endoscopy Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Live Oak Endoscopy Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Alejandro Perez, D.O.
Gastroenterology
NPI 1457674822
275 18TH ST STE 102
Vero Beach, FL 32960
(772) 562-6818
✔ PECOS✔ Accepts MedicareSame address
Justin Mullaney, DNP
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295223022
13695 US HIGHWAY 1
Sebastian, FL 32958
(716) 603-8140
✔ Accepts Medicare13 mi
Marissa Wyatt, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073076931
13695 US HIGHWAY 1
Sebastian, FL 32958
(772) 589-3196
✔ Accepts Medicare13 mi
Pramod Joseph, MD
Gastroenterology
NPI 1720222102
2215 NEBRASKA AVE SUITE 1A
Fort Pierce, FL 34950
(772) 567-6181
✔ PECOS✔ Accepts Medicare14 mi
Celso Pineiro, M.D.
Gastroenterology
NPI 1053325118
1651 SE TIFFANY AVE
Port St Lucie, FL 34952
(772) 398-1800
✔ PECOS✔ Accepts Medicare24 mi
Shandyn Diclaudio, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1366670812
225 E ROBINSON ST SUITE #130
Orlando, FL 32801
(407) 581-9180
✔ Accepts Medicare87 mi
Michael Rainey, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972781771
250 PARK ST
Bowling Green, KY 42101
(270) 745-1000
✔ Accepts Medicare735 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 10D1003366

Live Oak Endoscopy Center LLC · Vero Beach, FL
Active · expires Aug 27, 2028
CLIA Number10D1003366
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 28, 2026
Certificate Expiration DateAugust 27, 2028
Laboratory DirectorDr. Alejandro Perez
Laboratory Phone(772) 299-5005
Laboratory LocationLive Oak Endoscopy Center LLC275 18th Street Suite 101, Vero Beach, FL 32960
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
767 services752 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
474 services473 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
320 services319 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
213 services213 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
129 services129 patients
Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy C9777
This is a test where a small device is passed through your mouth to check the health of your esophagus. It uses electrical signals to assess the esophagus lining. It may be done along with an esophagoscopy, a procedure to examine your upper digestive system.
120 services120 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 Live Oak Endoscopy Center, LLC's NPI number?

The NPI number for Live Oak Endoscopy Center, LLC is 1548254402. It was assigned to this organization in the NPPES registry on September 7, 2005.

Where is Live Oak Endoscopy Center, LLC located?

Live Oak Endoscopy Center, LLC is located at 275 18th St Suite 101, Vero Beach, FL 32960. The listed phone number is (772) 299-5005.

What is Live Oak Endoscopy Center, LLC's specialty?

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

Is Live Oak Endoscopy Center, LLC enrolled in Medicare?

Yes. Live Oak Endoscopy Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Live Oak Endoscopy Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Live Oak Endoscopy Center, 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) (4) and Gastroenterology (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Live Oak Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1003366) is associated with this NPI, valid through August 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Live Oak Endoscopy Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Live Oak Endoscopy Center, 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 Live Oak Endoscopy Center, LLC was last updated on June 8, 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.