Organization Active NPI

Texas Midwest Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Abilene, TX
National Provider Identifier
1104457274
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TEXAS MIDWEST ENDOSCOPY CENTER, LLC
Practice address
14 Hospital Dr Ste B
Abilene, TX 79606-5289
Phone
(325) 795-0053
Fax
(325) 795-2113
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Dr. Zarna M Mehta, MD
Title
Administrator
Phone
(325) 370-1031

Specialties & licenses 1

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

Addresses

Primary practice location

14 Hospital Dr Ste B
Abilene, TX 79606-5289

Mailing address

14 Hospital Dr Ste B
Abilene, TX 79606-5289
Phone (325) 795-0053

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Edmond Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428000037 TX Part B Supplier - Ambulatory Surgical Center 2769812171 Practice locations: Abilene, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Midwest Endoscopy CenterCCN 45C0001700
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
45D2181331Texas Midwest Endoscopy Center LLC14 Hospital Drive, Suite B, Abilene, TX 79606Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1104457274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HOSPITAL DR STE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065289",
            "telephone_number": "325-795-0053",
            "fax_number": "325-795-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HOSPITAL DR STE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065289",
            "telephone_number": "325-795-0053",
            "fax_number": "325-795-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MIDWEST ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ZARNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-370-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Edmond",
            "affiliation": "N",
            "endpointDescription": "Work place",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14 Hospital Dr Ste B",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796065289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.