Active NPI
McAllen Surgical Specialty Center LTD
- Ambulatory Surgical Clinic/Center
- McAllen, TX
National Provider Identifier
1124197165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 007782
- Legal business name
- MCALLEN SURGICAL SPECIALTY CENTER LTD
- Practice address
- 1309 E Ridge Rd
McAllen, TX 78503-1517 - Phone
- (956) 631-7202
- Fax
- (956) 631-3026
- NPI assigned
- Nov 6, 2006
- 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
- Victor H Gonzalez, MD
- Title
- Medical Director
- Phone
- (956) 631-7202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 007782 | TX | Primary |
Addresses
Primary practice location
1309 E Ridge Rd
McAllen, TX 78503-1517
Mailing address
1309 E Ridge Rd
McAllen, TX 78503-1517
Phone (956) 631-7202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH1561 | Other | TX | BCBS OF TEXAS |
| 145785501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081217000705 | TX | Part B Supplier - Ambulatory Surgical Center | 0547322083 | Practice locations: McAllen, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- McAllen Surgical Specialty Center
- 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 |
|---|---|---|---|
| 45D0974590 | McAllen Surgical Specialty Center LTD | Certificate of waiver | Jun 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
1309 E Ridge Rd
McAllen, TX 78503
Phone (956) 631-7202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1124197165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 E RIDGE RD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031517",
"telephone_number": "956-631-7202",
"fax_number": "956-631-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 E RIDGE RD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031517",
"telephone_number": "956-631-7202",
"fax_number": "956-631-3026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCALLEN SURGICAL SPECIALTY CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "956-631-7202",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "007782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "HH1561",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145785501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.