DIRECTED INTERVENTIONAL SURGERY CTR INC A PROFESSIONAL MEDICAL CORP
NPI 1679694392
Clinic/Center - Ambulatory Surgical in Santa Monica, CA
About Directed Interventional Surgery Ctr Inc A Professional Medical Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIRECTED INTERVENTIONAL SURGERY CTR INC A PROFESSIONAL MEDICAL CORP (NPI 1679694392), doing business as Directed Interventional Surgery Center, is a healthcare organization registered as an ambulatory surgical in Santa Monica, California and active in the NPI registry since April 2007. The organization lists Sally Case, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Directed Interventional Surgery Ctr Inc A Professional Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Directed Interventional Surgery Ctr Inc A Professional Medical Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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 Directed Interventional Surgery Ctr Inc A Professional Medical Corp's NPI number?
The NPI number for Directed Interventional Surgery Ctr Inc A Professional Medical Corp is 1679694392. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider was formerly known as Directed Interventional Surgery Center.
Where is Directed Interventional Surgery Ctr Inc A Professional Medical Corp located?
Directed Interventional Surgery Ctr Inc A Professional Medical Corp is located at 2827 Wilshire Blvd, Santa Monica, CA 90403. The listed phone number is (310) 829-9788.
What is Directed Interventional Surgery Ctr Inc A Professional Medical Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Directed Interventional Surgery Ctr Inc A Professional Medical Corp enrolled in Medicare?
Yes. Directed Interventional Surgery Ctr Inc A Professional Medical Corp is registered in the Medicare PECOS enrollment system.
When is Directed Interventional Surgery Ctr Inc A Professional Medical Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Directed Interventional Surgery Ctr Inc A Professional Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Directed Interventional Surgery Ctr Inc A Professional Medical Corp. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Directed Interventional Surgery Ctr Inc A Professional Medical Corp was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Directed Interventional Surgery Ctr Inc A Professional Medical Corp · NPI 1679694392
Ambulatory Surgical organization in Santa Monica, California. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1679694392 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Sally Case, BILLING MANAGER
## Practice location
- **Address:** 2827 WILSHIRE BLVD, Santa Monica, CA 90403-4801
- **Phone:** (310) 829-9788 · **Fax:** (310) 453-1576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Ambulatory Surgical Center) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2017
- **Other identifiers:** Medicare ID-Type Unspecified S051520 (CA); Medicaid GR0070730 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1679694392) · Data from the CMS NPPES public registry.