SURGERY CENTER OF LAKELAND HILLS BOULEVARD
NPI 1649244567
Clinic/Center - Ambulatory Surgical in Lakeland, FL

Q: What is Lakeland Fl Endoscopy ASC LLC's NPI number?

The NPI number for Lakeland Fl Endoscopy ASC LLC is 1649244567. It was assigned to this organization in the NPPES registry on February 15, 2006. The provider is doing business as Surgery Center Of Lakeland Hills Boulevard.

Q: What is Lakeland Fl Endoscopy ASC LLC's specialty?

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

Active since February 15, 2006CLIA 10D1037131 · Waiver

3340 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 682-3239(863) 682-3462 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Surgery Center Of Lakeland Hills Boulevard NPPES

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

SURGERY CENTER OF LAKELAND HILLS BOULEVARD (NPI 1649244567) is a healthcare organization registered as an ambulatory surgical in Lakeland, Florida and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Phillip A Clendenin, President, as its authorized official.

NPPES Registry Identity

NPI1649244567

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLAKELAND FL ENDOSCOPY ASC LLC

Location Address3340 LAKELAND HILLS BLVDLakeland, FL 33805-1974

Mailing Address3340 Lakeland Hills BlvdLakeland, FL 33805-1974 · (863) 682-3239 · Fax (863) 682-3462

Phone(863) 682-3239

Fax(863) 682-3462

Organization SubpartNo

Authorized OfficialPhillip A ClendeninPresident · (615) 665-1283

Enumeration DateFebruary 15, 2006

Last NPPES UpdateSeptember 7, 2023

✔ NPI 1649244567 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 · 1230

3340 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Other Names 1

Doing Business AsSurgery Center Of Lakeland Hills Boulevard

Other Identifiers 2

OtherP00221727FL · Railroad Medicare

Medicaid075976700FL

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)

Surgery Center Of Lakeland Hills Boulevard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Surgery Center Of Lakeland Hills Boulevard, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Ugochukwu Nzeako, MD MPH

Gastroenterology

NPI 1386615581

4120 US HIGHWAY 98 N
Lakeland, FL 33809

(863) 687-8335

✔ PECOS✔ Accepts Medicare1.3 mi

Carlos Botero, M.D.

Anesthesiology

NPI 1902880933

541 S FLORIDA AVE
Lakeland, FL 33801

(863) 682-7246

✔ PECOS✔ Accepts Medicare3.3 mi

Kamal Patel, M.D.

Preventive Medicine

NPI 1750720025

2921 DUFF RD
Lakeland, FL 33810

(888) 331-3454

✔ PECOS✔ Accepts Medicare4.7 mi

Roger Montenegro, MD

Gastroenterology

NPI 1790929776

130 PABLO ST
Lakeland, FL 33803

(863) 284-5941

✔ PECOS✔ Accepts Medicare5.1 mi

Matthew Bruha, MD

Urology

NPI 1750887907

4715 S FLORIDA AVE
Lakeland, FL 33813

(863) 209-7004

✔ PECOS✔ Accepts Medicare7.3 mi

Paul Webster, M.D.

Interventional Pain Management

NPI 1063470540

825 E OAK ST
Kissimmee, FL 34744

(321) 442-8009

✔ PECOS✔ Accepts Medicare37 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 10D1037131

Surgery Center Of Lakeland Hills Blvd · Lakeland, FL

Active · expires Feb 15, 2027

CLIA Number10D1037131

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 16, 2025

Certificate Expiration DateFebruary 15, 2027

Laboratory DirectorJohn Woody

Laboratory Phone(863) 682-3239

Laboratory LocationSurgery Center Of Lakeland Hills Blvd3340 Lakeland Hills Blvd, Lakeland, FL 33805

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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 of cell or tissue-based material into spinal disc of lower back accessed through skin, first level 0627T

This procedure involves injecting cell or tissue-based material into a spinal disc in the lower back. It's done through the skin and aims to treat back pain or disc problems. It's a minimally invasive procedure, often performed under local anesthesia.

62 services56 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

48 services18 patients

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.

43 services42 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.

43 services43 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

34 services20 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

31 services15 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

30 services22 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

27 services14 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.

24 services24 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.

17 services17 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

17 services12 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.

17 services17 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

16 services13 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

14 services12 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.

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 Lakeland Fl Endoscopy ASC LLC's NPI number?

The NPI number for Lakeland Fl Endoscopy ASC LLC is 1649244567. It was assigned to this organization in the NPPES registry on February 15, 2006. The provider is doing business as Surgery Center Of Lakeland Hills Boulevard.

Where is Lakeland Fl Endoscopy ASC LLC located?

Lakeland Fl Endoscopy ASC LLC is located at 3340 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 682-3239.

What is Lakeland Fl Endoscopy ASC LLC's specialty?

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

Is Lakeland Fl Endoscopy ASC LLC enrolled in Medicare?

Yes. Lakeland Fl Endoscopy ASC LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeland Fl Endoscopy ASC LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Lakeland Fl Endoscopy ASC LLC, in Anesthesiology, Gastroenterology, Interventional Pain Management, Preventive Medicine and Urology. 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. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lakeland Fl Endoscopy ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1037131) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeland Fl Endoscopy ASC 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 3 other insurers list Lakeland Fl Endoscopy ASC 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 Lakeland Fl Endoscopy ASC LLC was last updated on September 7, 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.