Promenades Surgery Center LLC
NPI 1336181742 · Ambulatory Surgical Clinic/Center · Port Charlotte, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Promenades Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Port Charlotte, FL (NPI 1336181742).
Provider details
- NPI number
- 1336181742
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Issa Baroudi, Medical Director(941) 627-5155
- License
- 1149 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
377 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12032 | 56 | $94 |
| Full Thickness Skin Graft to Scalp, Arms, Or Legs, 20.0 Sq Cm Or Less15220 | 44 | $837 |
| Full Thickness Skin Graft to Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet, 20.0 Sq Cm Or Less15240 | 42 | $836 |
| Intermediate Repair of Wound of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5.0 Cm12052 | 39 | $101 |
| Repair of Wound of Scalp, Arms, Or Legs By Transferring Skin, 10.0 Sq Cm Or Less14020 | 36 | $856 |
| Removal of Cancer Skin Growth of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-2.0 Cm11642 | 28 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2013-01-14
Frequently asked questions
- What is Promenades Surgery Center LLC's NPI number?
- Promenades Surgery Center LLC's National Provider Identifier (NPI) is 1336181742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Promenades Surgery Center LLC?
- Promenades Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Promenades Surgery Center LLC located?
- Promenades Surgery Center LLC's practice location on file with NPPES is 3222 Tamiami Trl, Port Charlotte, FL 33952-8048.
- What is Promenades Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Promenades Surgery Center LLC is (941) 627-5155.
- Does Promenades Surgery Center LLC accept Medicare?
- Promenades Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Promenades Surgery Center LLC?
- The authorized official listed on Promenades Surgery Center LLC's NPPES record is Issa Baroudi, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Promenades Surgery Center LLC's NPI active?
- Yes — Promenades Surgery Center LLC's NPI (1336181742) is active in the NPPES registry as of the last update on 2013-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.