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ENDOSURG OUTPATIENT CENTER LLC
NPI 1639105455
Clinic/Center - Ambulatory Surgical in Lady Lake, FL

Active since June 23, 2006CLIA 10D0983194 · Waiver
13838 N US HIGHWAY 441, LADY LAKE, FL 32159(352) 753-1612(352) 728-5497 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Endosurg Outpatient Center Llc NPPES

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

ENDOSURG OUTPATIENT CENTER LLC (NPI 1639105455) is a healthcare organization registered as an ambulatory surgical in Lady Lake, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Lily Tran, Doctor, as its authorized official.

NPPES Registry Identity

NPI1639105455
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSURG OUTPATIENT CENTER LLC
Location Address13838 N US HIGHWAY 441Lady Lake, FL 32159-8904
Mailing Address13838 N Us Highway 441Lady Lake, FL 32159-8904 · (352) 753-1612 · Fax (352) 728-5497
Phone(352) 753-1612
Fax(352) 728-5497
Organization SubpartNo
Authorized OfficialLily TranDoctor · (352) 323-8868
Enumeration DateJune 23, 2006
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1639105455 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 · 1115
13838 N US HIGHWAY 441, Lady Lake, FL 32159
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedF1346FL

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 10D0983194

Endosurg Outpatient Center LLC · Lady Lake, FL
Active · expires Feb 18, 2027
CLIA Number10D0983194
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorLily Tran
Laboratory Phone(352) 753-0526
Laboratory LocationEndosurg Outpatient Center LLC13838 Us Hwy 441, Lady Lake, FL 32159
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
395 services394 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.
189 services189 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.
178 services178 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.
137 services137 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.
50 services50 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
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 Endosurg Outpatient Center LLC's NPI number?

The NPI number for Endosurg Outpatient Center LLC is 1639105455. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Endosurg Outpatient Center LLC located?

Endosurg Outpatient Center LLC is located at 13838 N Us Highway 441, Lady Lake, FL 32159. The listed phone number is (352) 753-1612.

What is Endosurg Outpatient Center LLC's specialty?

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

Does Endosurg Outpatient Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0983194) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endosurg Outpatient Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Endosurg Outpatient 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 Endosurg Outpatient Center LLC was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.