RIVERWALK AMBULATORY SURGERY CENTER LLC
NPI 1588839609
Clinic/Center - Ambulatory Surgical in Bradenton, FL

Active since April 29, 2008CLIA 10D1087284 · Waiver
200 3RD AVE W., STE 170, BRADENTON, FL 34205(941) 782-5434(941) 782-5438 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2025, Dec 4, 2018 (2 updates tracked since 2018).

About Riverwalk Ambulatory Surgery Center Llc NPPES

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

RIVERWALK AMBULATORY SURGERY CENTER LLC (NPI 1588839609) is a healthcare organization registered as an ambulatory surgical in Bradenton, Florida and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through July 30, 2028 and lists Alicia Perrine, Administrator, as its authorized official.

NPPES Registry Identity

NPI1588839609
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIVERWALK AMBULATORY SURGERY CENTER LLC
Location Address200 3RD AVE W., STE 170Bradenton, FL 34205-8632
Mailing Address200 3rd Ave W Ste 170Bradenton, FL 34205-8632 · (941) 782-5439 · Fax (941) 782-5438
Fax(941) 782-5438
Organization SubpartNo
Authorized OfficialAlicia PerrineAdministrator · (941) 782-5439
Enumeration DateApril 29, 2008
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1588839609 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 · 1304
200 3RD AVE W., STE 170, Bradenton, FL 34205

Other Identifiers 1

Medicaid11918800FL

Accepted 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 10D1087284

Riverwalk Ambulatory Surgery Center LLC · Bradenton, FL
Active · expires Jul 30, 2028
CLIA Number10D1087284
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 31, 2026
Certificate Expiration DateJuly 30, 2028
Laboratory DirectorSean Castellucci
Laboratory Phone(941) 782-5439
Laboratory LocationRiverwalk Ambulatory Surgery Center LLC200 3rd Avenue West Suite 170, Bradenton, FL 34205
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 35

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,950 services30 patients
Brachytherapy source, stranded, iodine-125, per source C2638
Brachytherapy is a treatment where small radioactive iodine-125 sources, attached together like a strand, are placed inside or near a disease site. This delivers high-dose radiation precisely, minimizing harm to healthy tissue.
1,600 services20 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
408 services363 patients
Dilation of urethra using an endoscope 52281
This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.
155 services140 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
145 services82 patients
Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234
This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.
90 services72 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 Riverwalk Ambulatory Surgery Center LLC's NPI number?

The NPI number for Riverwalk Ambulatory Surgery Center LLC is 1588839609. It was assigned to this organization in the NPPES registry on April 29, 2008.

Where is Riverwalk Ambulatory Surgery Center LLC located?

Riverwalk Ambulatory Surgery Center LLC is located at 200 3rd Ave W., Ste 170, Bradenton, FL 34205. The listed phone number is (941) 782-5434.

What is Riverwalk Ambulatory Surgery Center LLC's specialty?

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

Does Riverwalk Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1087284) is associated with this NPI, valid through July 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Riverwalk Ambulatory Surgery Center LLC accept?

Health plans from AmeriHealth Caritas Next and UnitedHealthcare list Riverwalk Ambulatory Surgery 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 Riverwalk Ambulatory Surgery Center LLC was last updated on February 5, 2025. 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.