Active NPI
Northwest Surgery Center, LLP
- Ambulatory Surgical Clinic/Center
- Austin, TX
National Provider Identifier
1104974310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008513
- Legal business name
- NORTHWEST SURGERY CENTER, LLP
- Practice address
- 11111 Research Blvd Ste 150
Austin, TX 78759-5280 - Phone
- (512) 349-4000
- Fax
- (512) 349-4060
- NPI assigned
- Jan 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Newman
- Title
- Officer /Authorized Official
- Phone
- (346) 212-0379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008513 | TX | Primary |
Addresses
Primary practice location
11111 Research Blvd Ste 150
Austin, TX 78759-5280
Mailing address
11111 Research Blvd Ste 150
Austin, TX 78759-5280
Phone (512) 349-4000
Other names 1
- Northwest Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071219000327 | TX | Part B Supplier - Ambulatory Surgical Center | 2365532090 | Practice locations: Austin, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Northwest Surgery Center LLP
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1064178 | Northwest Surgery Center LLP | Certificate of waiver | Jan 30, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
11111 Research Blvd
Ste Llc
Austin, TX 78759
Phone (512) 349-4000
11111 Research Blvd
Ste 150
Austin, TX 78759
Phone (512) 349-4000
11111 Research Blvd
#3
Austin, TX 78759
Phone (512) 349-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1104974310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 RESEARCH BLVD STE 150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595280",
"telephone_number": "512-349-4000",
"fax_number": "512-349-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 RESEARCH BLVD STE 150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595280",
"telephone_number": "512-349-4000",
"fax_number": "512-349-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST SURGERY CENTER, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-07",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "OFFICER /AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "346-212-0379"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "008513",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Northwest Surgery Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Northwest Surgery Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.