South Texas ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH TEXAS ASC, LLC

Doing business as

South Texas Surgical Institute

Practice address

8122 Datapoint Dr
Suite 105
San Antonio, TX 78229-3264

Phone

(210) 200-6392

Fax

(210) 200-6394

NPI assigned

Oct 4, 2017

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Lonergan

Title

Chief Operations Officer

Phone

(210) 695-2757

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SOUTH TEXAS SURGICAL INSTITUTE Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1073023065. Details of each certification follow.

• CCN 45C0001703 Ambulatory surgical center · Active · Name & address match · Details
• CCN 670295 Hospital · Terminated · Name & address match · Details

Ambulatory surgical center certification: CCN 45C0001703

Legal name

SOUTH TEXAS SURGICAL INSTITUTE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 10, 2020

Last certification

Sep 10, 2020

Ownership / control type

Proprietary

Facility address

8122 Datapoint Dr Suite 105
San Antonio, TX 78229

Hospital certification: CCN 670295

Legal name

SOUTH TEXAS SURGICAL INSTITUTE

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Feb 11, 2021

Last certification

Feb 11, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

8122 Datapoint Drive, Suite 105
San Antonio, TX 78229

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

CLIA laboratory certificates

Practitioners 1

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.

• Nilesh Arvind Patel, MD

  • Surgery Physician
  • San Antonio, TX
  • NPI 1467453621
  NPD

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1073023065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780849",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782780849",
            "telephone_number": "855-882-2849",
            "fax_number": "801-931-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293264",
            "telephone_number": "210-200-6392",
            "fax_number": "210-200-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "LONERGAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "210-695-2757"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "HH404A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH TEXAS SURGICAL INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH TEXAS SURGICAL INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Texas Allergy & Asthma Medical Professionals PLLC
• South Texas Ambulatory Surgery Center, LLC
• South Texas Ancillary Services, LTD
• South Texas Anesthesia Consultants PLLC
• South Texas Anesthesia Group PLLC
• South Texas Assisted Living, LLC
• South Texas Behavioral Group, LLC
• South Texas Behavioral Institute
• South Texas Blood & Tissue Center
• South Texas Cardiology Institute, PLLC

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.