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PREMIER SURGICAL SUITES, LLC
NPI 1851006316
Clinic/Center - Ambulatory Surgical in Clearwater, FL

Active since January 19, 2023CLIA 10D2276448 · Waiver
2111 DREW ST STE 100, CLEARWATER, FL 33765(727) 604-5090(727) 442-1600 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2023, Mar 22, 2023, Jan 19, 2023 (3 updates tracked since 2023).

About Premier Surgical Suites, Llc NPPES

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

PREMIER SURGICAL SUITES, LLC (NPI 1851006316) is a healthcare organization registered as an ambulatory surgical in Clearwater, Florida and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Ginger Urbaniak, Cfo, as its authorized official.

NPPES Registry Identity

NPI1851006316
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER SURGICAL SUITES, LLC
Location Address2111 DREW ST STE 100Clearwater, FL 33765-3215
Mailing Address2111 Drew St Ste 100Clearwater, FL 33765-3215 · (727) 604-5090 · Fax (727) 442-1600
Phone(727) 604-5090
Fax(727) 442-1600
Organization SubpartNo
Authorized OfficialGinger UrbaniakCfo · (616) 218-4495
Enumeration DateJanuary 19, 2023
Last NPPES UpdateJune 27, 20233 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1851006316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedPlastic SurgeryTaxonomy 208200000X
2111 DREW ST STE 100, Clearwater, FL 33765
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Premier Surgical Suites, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Roderick Urbaniak, M.D.
Plastic and Reconstructive Surgery
NPI 1720291792
13201 WALSINGHAM RD STE 200
Largo, FL 33774
(616) 459-4131
✔ PECOS✔ Accepts Medicare7.4 mi
Jared Gopman, M.D.
Plastic and Reconstructive Surgery
NPI 1497109847
3129 ALTERNATE 19
Dunedin, FL 34698
(727) 400-4768
✔ PECOS✔ Accepts Medicare16 mi
Jason Alonso, MD
Anesthesiology
NPI 1639180011
202 S. PARKER STREET UNIT 776
Tampa, FL 33606
(305) 298-6275
✔ PECOS✔ Accepts Medicare18 mi
Allison Miscik, MD
Plastic and Reconstructive Surgery
NPI 1730684341
17 DAVIS BLVD
Tampa, FL 33606
(813) 250-2261
✔ PECOS✔ Accepts Medicare18 mi
Minh Ngo, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073544920
5637 MARINE PARKWAY
New Port Richey, FL 34652
(727) 848-1733
18 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 10D2276448

Premier Surgical Suites LLC · Clearwater, FL
Active · expires Feb 7, 2027
CLIA Number10D2276448
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorRoderick M. Urbaniak
Laboratory Phone(727) 261-1745
Laboratory LocationPremier Surgical Suites LLC2111 Drew Street Suite 100, Clearwater, FL 33765
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.

Extensive repair of turning-outward eyelid defect 67917
This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.
34 services17 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
31 services16 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 Premier Surgical Suites, LLC's NPI number?

The NPI number for Premier Surgical Suites, LLC is 1851006316. It was assigned to this organization in the NPPES registry on January 19, 2023.

Where is Premier Surgical Suites, LLC located?

Premier Surgical Suites, LLC is located at 2111 Drew St Ste 100, Clearwater, FL 33765. The listed phone number is (727) 604-5090.

What is Premier Surgical Suites, LLC's specialty?

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

Is Premier Surgical Suites, LLC enrolled in Medicare?

Yes. Premier Surgical Suites, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Surgical Suites, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Premier Surgical Suites, LLC. 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. The largest specialties are Plastic and Reconstructive Surgery (3), Anesthesiology (1) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Surgical Suites, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2276448) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Surgical Suites, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Premier Surgical Suites, 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 Premier Surgical Suites, LLC was last updated on June 27, 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.