Organization Active NPI

Texas Center for Interventional Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Addison, TX
National Provider Identifier
1033564414
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TEXAS CENTER FOR INTERVENTIONAL SURGERY, LLC
Practice address
4450 Sojourn Dr
Suite 200
Addison, TX 75001-5041
Phone
(972) 733-0014
Fax
(972) 733-0125
NPI assigned
May 4, 2016
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jaryd Stein, MDNPI 1831304161
Title
Chief Medical Officer
Phone
(866) 552-4866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4450 Sojourn Dr
Suite 200
Addison, TX 75001-5041

Mailing address

4450 Sojourn Dr
Suite 200
Addison, TX 75001-5041
Phone (469) 801-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170202000025 TX Part B Supplier - Ambulatory Surgical Center 9133402985 Practice locations: Addison, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Center for Interventional Surgery LLCCCN 45C0001631
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2341289Texas Center for Interventional Surgery LLC4450 Sojourn Dr Ste 200, Addison, TX 75001Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1033564414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 SOJOURN DR",
            "address_2": "SUITE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015041",
            "telephone_number": "469-801-5007",
            "fax_number": "972-733-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 SOJOURN DR",
            "address_2": "SUITE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015041",
            "telephone_number": "972-733-0014",
            "fax_number": "972-733-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CENTER FOR INTERVENTIONAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JARYD",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "866-552-4866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.