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ELITE SURGERY MEDICAL GROUP
NPI 1902456213
Surgery in Palmdale, CA

Active since September 18, 2019
38920 TRADE CENTER DR, PALMDALE, CA 93551(661) 942-6565 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Surgery Medical Group NPPES

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

ELITE SURGERY MEDICAL GROUP (NPI 1902456213) is a healthcare organization registered as a surgery in Palmdale, California and active in the NPI registry since September 2019. The organization lists Emery L Chen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902456213
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameELITE SURGERY MEDICAL GROUP
Location Address38920 TRADE CENTER DRPalmdale, CA 93551-3715
Mailing Address38920 Trade Center DrPalmdale, CA 93551-3715
Phone(661) 942-6565
Organization SubpartNo
Authorized OfficialEmery L ChenCeo · (661) 942-6565
Enumeration DateSeptember 18, 2019
✔ NPI 1902456213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
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.
38920 TRADE CENTER DR, Palmdale, CA 93551
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Surgery Medical Group 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 Elite Surgery Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Farees Tavangari, M.D.
Bariatric Sx
NPI 1194160168
7800 SW 87TH AVE STE B210
Miami, FL 33173
(305) 271-9777
✔ PECOS✔ Accepts Medicare2,330 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 Elite Surgery Medical Group's NPI number?

The NPI number for Elite Surgery Medical Group is 1902456213. It was assigned to this organization in the NPPES registry on September 18, 2019.

Where is Elite Surgery Medical Group located?

Elite Surgery Medical Group is located at 38920 Trade Center Dr, Palmdale, CA 93551. The listed phone number is (661) 942-6565.

What is Elite Surgery Medical Group's specialty?

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

Is Elite Surgery Medical Group enrolled in Medicare?

Yes. Elite Surgery Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Surgery Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Bariatric Sx) reassigns their Medicare billing to Elite Surgery Medical Group. 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 Elite Surgery Medical Group was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.