Organization Active NPI

Northwest Surgery Center, LLP

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1104974310
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008513 Issued in TX
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

Updated by the provider on Jun 4, 2026

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)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 LLPCCN 45C0001458
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
45D1064178Northwest Surgery Center LLP11111 Research Blvd Suite LL3, Austin, TX 78759Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.