Southwest Surgical Operating Company, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHWEST SURGICAL OPERATING COMPANY, LLC

Practice address

6000 South Mopac Expy
Ste 200
Austin, TX 78749

Phone

(512) 492-3702

Fax

(512) 492-3703

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Kisha Moore

Title

Sr ASC Administrator

Phone

(512) 341-2273

Specialties & licenses 1

Addresses

Other names 1

• Advanced Surgical Center - Austin Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Southwest Surgical Operating Company LLC Dba Advanced Surgical Center AustinCCN 45C0001737

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

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1336710854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LOUIS HENNA BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281203",
            "telephone_number": "512-492-3707",
            "fax_number": "512-469-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SOUTH MOPAC EXPY",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-492-3702",
            "fax_number": "512-492-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SURGICAL OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "SR ASC ADMINISTRATOR",
        "authorized_official_telephone_number": "512-341-2273"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Surgical Center - Austin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Surgical Center - Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southwest Skin & Cancer Clinic, P.a.
• Southwest Skin and Vein Center PLLC
• Southwest Surgical Systems, Inc.
• Southwestern Colon & Rectal Surgery, PA
• Southwood Care Center LLC
• Kourtney Souza
• Sovereign Serenity Care LLC

• Ambulatory Surgical Clinic/Center in Austin, TX
• Providers in Austin, 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 Apr 17, 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.