Active NPI
Gcsa Ambulatory Surgery Center, LLC
Doing business as Gastroenterology Consultants of San Antonio - Stone Oak
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
National Provider Identifier
1225375587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GCSA AMBULATORY SURGERY CENTER, LLC
- Doing business as
- Gastroenterology Consultants of San Antonio - Stone Oak
- Practice address
- 855 Proton Rd
San Antonio, TX 78258-4203 - Phone
- (210) 614-1234
- Fax
- (210) 614-0952
- NPI assigned
- Jan 7, 2013
- Last updated
- Oct 7, 2024
- 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
- Peter Blach
- Title
- Officer / Authorized Official
- Phone
- (713) 343-0832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
855 Proton Rd
San Antonio, TX 78258-4203
Mailing address
4801 NW Loop 410 Ste 812
San Antonio, TX 78229-5347
Phone (210) 614-1234
Other names 1
- Gastroenterology Consultants of San Antonio - Stone Oak
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 |
|---|---|---|---|---|
| O20130619000662 | TX | Part B Supplier - Ambulatory Surgical Center | 9537308747 | Practice locations: San Antonio, TX |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
- NPI 1275870537
9537308747
-
dba Gastroenterology Consultants of San Antonio NE
- Ambulatory Surgical Clinic/Center
- Live Oak, TX
- NPI 1306263983
9537308747
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Gastroenterology Consultants of San Antonio NE
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
- NPI 1275870537
-
dba Gastroenterology Consultants of San Antonio NE
- Ambulatory Surgical Clinic/Center
- Live Oak, TX
- NPI 1306263983
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Baptist Health System
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1124007240
Member Of
Locations
4801 NW Loop 410
Ste 812
San Antonio, TX 78229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1225375587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 NW LOOP 410 STE 812",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295347",
"telephone_number": "210-614-1234",
"fax_number": "210-614-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 PROTON RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584203",
"telephone_number": "210-614-1234",
"fax_number": "210-614-0952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GCSA AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "BLACH",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "713-343-0832"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"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": "Gastroenterology Consultants of San Antonio - Stone Oak",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gastroenterology Consultants of San Antonio - Stone Oak",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.