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PREMIER SURGICAL PLLC
NPI 1740349927
Surgery in Patchogue, NY

Active since December 06, 2006
285 SILLS RD, BLDG 3 SUITE 2A, PATCHOGUE, NY 11772(631) 207-2807(631) 207-5077 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premier Surgical Pllc NPPES

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

PREMIER SURGICAL PLLC (NPI 1740349927) is a healthcare organization registered as a surgery in Patchogue, New York and active in the NPI registry since December 2006. The organization lists Danielle C Clarke, Medical Assistant, as its authorized official.

NPPES Registry Identity

NPI1740349927
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePREMIER SURGICAL PLLC
Location Address285 SILLS RD, BLDG 3 SUITE 2APatchogue, NY 11772
Mailing Address40 Brayton Ct NSouth Setauket, NY 11720-4625 · (631) 475-6663 · Fax (631) 475-6664
Phone(631) 207-2807
Fax(631) 207-5077
Organization SubpartNo
Authorized OfficialDanielle C ClarkeMedical Assistant · (631) 207-2807
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 23, 2008
✔ NPI 1740349927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 221334-1
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
285 SILLS RD, Patchogue, NY 11772
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Other Identifiers 2

Medicare ID-Type Unspecified407I51NY
Medicare UPINH40807NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Surgical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Surgical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ravindra Kota, M.D.
General Surgery
NPI 1780651323
285 SILLS RD
East Patchogue, NY 11772
(631) 475-6663
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Premier Surgical PLLC's NPI number?

The NPI number for Premier Surgical PLLC is 1740349927. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Premier Surgical PLLC located?

Premier Surgical PLLC is located at 285 Sills Rd Bldg 3 Suite 2A, Patchogue, NY 11772. The listed phone number is (631) 207-2807.

What is Premier Surgical PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Premier Surgical PLLC enrolled in Medicare?

Yes. Premier Surgical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Surgical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Premier Surgical PLLC. 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 Premier Surgical PLLC was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.