Active NPI
Advancedcare Surgery Center PLLC
- Ambulatory Surgical Clinic/Center
- Ennis, TX
National Provider Identifier
1235994120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ADVANCEDCARE SURGERY CENTER PLLC
- Practice address
- 2200 Physicians Blvd Ste a
Ennis, TX 75119-6248 - Phone
- (972) 782-9090
- Fax
- (972) 764-8909
- NPI assigned
- Feb 19, 2024
- Last updated
- Jun 24, 2026
- 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
- Saneela Khan
- Title
- Director of Operations
- Phone
- (732) 610-6120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
2200 Physicians Blvd Ste a
Ennis, TX 75119-6248
Mailing address
2071 N Collins Blvd Ste 100
Richardson, TX 75080-2696
Phone (732) 610-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240422002601 | TX | Part B Supplier - Ambulatory Surgical Center | 6507205648 | Practice locations: Ennis, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1235994120. Details of each certification follow.
Ambulatory surgical center certification: CCN 45C0001743
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ADVANCEDCARE SURGERY CENTER PLLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Feb 22, 2022
- Last certification
- Feb 5, 2025
- Ownership / control type
- Proprietary
- Most recent change of ownership
- Oct 22, 2023
- Facility address
- 2200 Physicians Blvd Ste a
Ennis, TX 75119
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1235994120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2071 N COLLINS BLVD STE 100",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802696",
"telephone_number": "732-610-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PHYSICIANS BLVD STE A",
"city": "ENNIS",
"state": "TX",
"postal_code": "751196248",
"telephone_number": "972-782-9090",
"fax_number": "972-764-8909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCEDCARE SURGERY CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-19",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "SANEELA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "732-610-6120"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.