TAVARES SURGERY LLC
NPI 1558618116
Clinic/Center - Ambulatory Surgical in Tavares, FL

Q: What is Tavares Surgery LLC's NPI number?

The NPI number for Tavares Surgery LLC is 1558618116. It was assigned to this organization in the NPPES registry on August 13, 2012.

Q: What is Tavares Surgery LLC's specialty?

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

Active since August 13, 2012CLIA 10D2046981 · Waiver

1878 MAYO DR, TAVARES, FL 32778(352) 508-5401(877) 535-4708 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tavares Surgery Llc NPPES

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

TAVARES SURGERY LLC (NPI 1558618116) is a healthcare organization registered as an ambulatory surgical in Tavares, Florida and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Soundarapandian Baskar, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1558618116

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameTAVARES SURGERY LLC

Location Address1878 MAYO DRTavares, FL 32778-4308

Mailing Address1878 Mayo DrTavares, FL 32778-4308 · (352) 508-5401 · Fax (877) 535-4708

Phone(352) 508-5401

Fax(877) 535-4708

Organization SubpartNo

Authorized OfficialSoundarapandian BaskarManaging Member · (352) 636-3652

Enumeration DateAugust 13, 2012

Last NPPES UpdateOctober 24, 2024

NPPES CertifiedOctober 24, 2024

✔ NPI 1558618116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1878 MAYO DR, Tavares, FL 32778

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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 ›

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 10D2046981

Tavares Surgery LLC · Tavares, FL

Active · expires Sep 13, 2026

CLIA Number10D2046981

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 14, 2024

Certificate Expiration DateSeptember 13, 2026

Laboratory DirectorSoundarapandian Baskar

Laboratory Phone(352) 636-3652

Laboratory LocationTavares Surgery LLC1878 Mayo Dr, Tavares, FL 32778

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 9

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.

697 services684 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.

492 services492 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.

284 services283 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.

204 services203 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

109 services109 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

108 services108 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 Tavares Surgery LLC's NPI number?

The NPI number for Tavares Surgery LLC is 1558618116. It was assigned to this organization in the NPPES registry on August 13, 2012.

Where is Tavares Surgery LLC located?

Tavares Surgery LLC is located at 1878 Mayo Dr, Tavares, FL 32778. The listed phone number is (352) 508-5401.

What is Tavares Surgery LLC's specialty?

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

Does Tavares Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2046981) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tavares Surgery LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 8 other insurers list Tavares 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 Tavares Surgery LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.