Memorial Hermann Surgery Center Kingsland LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

130003 Issued in TX

Legal business name

MEMORIAL HERMANN SURGERY CENTER KINGSLAND LLC

Doing business as

Memorial Hermann Surgery Center Kingsland

Practice address

21720 Kingsland Blvd
Suite 101
Katy, TX 77450-2550

Phone

(281) 492-1234

Fax

(281) 579-5630

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Nicholas Crafts

Title

Officer/Ao

Phone

(832) 729-4009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Memorial Hermann Surgery Center Kingsland Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Memorial Hermann Surgery Center KingslandCCN 45C0001442

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1336391085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD",
            "address_2": "SUITE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502550",
            "telephone_number": "281-492-1234",
            "fax_number": "281-579-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 KINGSLAND BLVD",
            "address_2": "SUITE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502550",
            "telephone_number": "281-492-1234",
            "fax_number": "281-579-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN SURGERY CENTER KINGSLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "CRAFTS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OFFICER/AO",
        "authorized_official_telephone_number": "832-729-4009"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00744720",
            "state": "TX"
        }
    ],
    "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": "Memorial Hermann Surgery Center Kingsland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Memorial Home Healthcare Inc
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• Memorial Prosthetics and Orthotics Inc
• Memorial Wound Care and Infusion Center

• Ambulatory Surgical Clinic/Center in Katy, TX
• Providers in Katy, 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 Nov 24, 2025; 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.