PEDIATRIC SURGERY CENTER -ODESSA, LLC
NPI 1750565594
Clinic/Center - Ambulatory Surgical in Odessa, FL

Q: What is Pediatric Surgery Center -Odessa, LLC's specialty?

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

Active since December 27, 2007

14111 STATE ROAD 54, ODESSA, FL 33556(813) 343-5690(813) 792-1845 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Sep 11, 2024, Jul 26, 2017 (3 updates tracked since 2017).

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About Pediatric Surgery Center -odessa, Llc NPPES

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

PEDIATRIC SURGERY CENTER -ODESSA, LLC (NPI 1750565594) is a healthcare organization registered as an ambulatory surgical in Odessa, Florida and active in the NPI registry since December 2007. The organization lists Collin Lemaistre, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1750565594

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePEDIATRIC SURGERY CENTER -ODESSA, LLC

Location Address14111 STATE ROAD 54Odessa, FL 33556-3663

Mailing Address14111 State Road 54Odessa, FL 33556-3663 · (813) 343-5690 · Fax (813) 792-1845

Phone(813) 343-5690

Fax(813) 792-1845

Organization SubpartNo

Authorized OfficialCollin LemaistreAuthorized Official · (214) 213-0732

Enumeration DateDecember 27, 2007

Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1750565594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

14111 STATE ROAD 54, Odessa, FL 33556

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Other Identifiers 2

Medicaid000348000FL

Medicaid007254600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Surgery Center -odessa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20081008000559Non-DME Part B · Ambulatory Surgical CenterDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THIRU S. ARASU, M.D., P.A.

Pediatrics (Pediatric Gastroenterology)

14111 STATE ROAD 54
ODESSA, FL 33556

Pasco County (813) 870-4438

CHRISTIE BURNETT MD

Anesthesiology (Pediatric Anesthesiology)

14111 STATE ROAD 54, PEDIATRIC SURGERY CENTERS
ODESSA, FL 33556

Pasco County (813) 343-5690

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 Pediatric Surgery Center -Odessa, LLC's NPI number?

The NPI number for Pediatric Surgery Center -Odessa, LLC is 1750565594. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Pediatric Surgery Center -Odessa, LLC located?

Pediatric Surgery Center -Odessa, LLC is located at 14111 State Road 54, Odessa, FL 33556. The listed phone number is (813) 343-5690.

What is Pediatric Surgery Center -Odessa, LLC's specialty?

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

Is Pediatric Surgery Center -Odessa, LLC enrolled in Medicare?

Yes. Pediatric Surgery Center -Odessa, LLC is registered in the Medicare PECOS enrollment system.

When is Pediatric Surgery Center -Odessa, LLC'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 (Florida, Ambulatory Surgical Center) is due for revalidation by February 28, 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.

What insurance does Pediatric Surgery Center -Odessa, LLC accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Pediatric Surgery Center -Odessa, 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 Pediatric Surgery Center -Odessa, LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.