Active NPI
Medical City Surgery Center of Alliance, LLC
- Ambulatory Surgical Clinic/Center
- Fort Worth, TX
National Provider Identifier
1164017778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MEDICAL CITY SURGERY CENTER OF ALLIANCE, LLC
- Doing business as
- Medical City Surgery Center Alliance
- Practice address
- 8900 Medical City Way
Fort Worth, TX 76177-2474 - Phone
- (817) 898-6610
- NPI assigned
- Mar 5, 2021
- 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
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 289-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
8900 Medical City Way
Fort Worth, TX 76177-2474
Mailing address
8900 Medical City Way
Fort Worth, TX 76177-2474
Other names 1
- Medical City Surgery Center Alliance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210806001053 | TX | Part B Supplier - Ambulatory Surgical Center | 0941604318 | Practice locations: Fort Worth, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Medical City Surgery Center of Alliance LLC Dba Medical City Surgery Center Alliance
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 |
|---|---|---|---|
| 45D2231671 | Medical City Surgery Center Alliance | Certificate of waiver | Aug 3, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1164017778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 MEDICAL CITY WAY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761772474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 MEDICAL CITY WAY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761772474",
"telephone_number": "817-898-6610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CITY SURGERY CENTER OF ALLIANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-05",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "972-289-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical City Surgery Center Alliance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Medica-Rents Co., LTD
- Medical Assessments Inc.
- Medical Case Management & Social Services, Inc.
- Medical Centre Iom Services, PLLC
- Medical Centre Pain Management Associates P a
- Medical Clinic of North Texas PLLC
- Medical Clinic of North Texas PLLC
- Medical Edge Healthcare Group PA
- Medical Edge Healthcare Group PA
- Medical Edge Healthcare Group PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.