Deerbrook Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DEERBROOK SURGERY CENTER LLC

Doing business as

Kingwood Endoscopy
Memorial Hermann Endoscopy Center Kingwood

Practice address

310 Kingwood Executive Dr Ste a
Kingwood, TX 77339-2752

Phone

(832) 344-4008

Fax

(832) 344-4009

NPI assigned

Aug 30, 2019

Last updated

Aug 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dan Newman

Title

Officer/Authorized Official

Phone

(346) 212-0379

Specialties & licenses 1

Addresses

Other names 2

• Kingwood Endoscopy Doing business as
• Memorial Hermann Endoscopy Center Kingwood Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Kingwood EndoscopyCCN 45C0001697

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georg Elias, M.D

  • Gastroenterology Physician
  • Kingwood, TX
  • NPI 1952542680
  Medicare reassignment NPD
• Khanh N Le, MD

  • Gastroenterology Physician
  • The Woodlands, TX
  • NPI 1073638656
  NPD
• Randy Chung, M.D.

  • Gastroenterology Physician
  • Kingwood, TX
  • NPI 1427492701
  NPD (past)
• Ronald Michael Rance, M.D.

  • Specialist
  • Houston, TX
  • NPI 1033237235
  NPD (past)
• Tal R Raphaeli, MD

  • Colon & Rectal Surgery Physician
  • Houston, TX
  • NPI 1609910009
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1285282343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 KINGWOOD EXECUTIVE DR STE A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392752",
            "telephone_number": "832-344-4008",
            "fax_number": "832-344-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 KINGWOOD EXECUTIVE DR STE A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392752",
            "telephone_number": "832-344-4008",
            "fax_number": "832-344-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERBROOK SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "346-212-0379"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kingwood Endoscopy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hermann Endoscopy Center Kingwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Nelson Deas, P.A.
• Karen Debenon, PT
• Deborah Greco, LCSW PLLC
• Audrey Frances Dedmon
• Deerbrook Endo Sedation PLLC
• Jennifer Delabra
• Esmeralda Delgadillo, LPC, CCSAS
• Kristina Finley Delhomme, LMFT
• Thronda Deloach
• Tiesha Nicole Deloach, APRN

• Ambulatory Surgical Clinic/Center in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.