Organization Active NPI

Texas Health Surgery Center Bedford, LLC

Doing business as Texas Health Surgery Center Bedford

  • Ambulatory Surgical Clinic/Center
  • Bedford, TX
National Provider Identifier
1245768209
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TEXAS HEALTH SURGERY CENTER BEDFORD, LLC
Doing business as
Texas Health Surgery Center Bedford
Practice address
1605 Airport Fwy Ste 100
Bedford, TX 76021-5730
Phone
(682) 503-8940
NPI assigned
Jun 2, 2017
Last updated
Jun 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheeba Kuriakose
Title
Chief Administrative Officer
Phone
(214) 783-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1605 Airport Fwy Ste 100
Bedford, TX 76021-5730

Mailing address

1605 Airport Fwy Ste 100
Bedford, TX 76021-5730

Other names 1

  • Texas Health Surgery Center Bedford Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010002628 TX Part B Supplier - Ambulatory Surgical Center 4688949001 Practice locations: Bedford, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Texas Health Surgery Center Bedford LLC Dba Texas Health Surgery Center BedfordCCN 45C0001633
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
45D2075105Texas Health Surgery Center Bedford, LLC1605 Airport Freeway, Suite 100, Bedford, TX 76021Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1245768209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 AIRPORT FWY STE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 AIRPORT FWY STE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215730",
            "telephone_number": "682-503-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH SURGERY CENTER BEDFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "KURIAKOSE",
        "authorized_official_first_name": "SHEEBA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "214-783-3623"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Surgery Center Bedford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.