Organization Active NPI

Victoria Ambulatory Surgery Center, LP

Doing business as The Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Victoria, TX
National Provider Identifier
1346237328
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VICTORIA AMBULATORY SURGERY CENTER, LP
Doing business as
The Surgery Center
Practice address
6404 Nursery Dr Ste 300
Victoria, TX 77904-1688
Phone
(361) 570-8311
Fax
(361) 570-8508
NPI assigned
Oct 4, 2005
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Nicholas Crafts
Title
Officer / Authorized Official
Phone
(832) 729-4009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 008190 TX
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

6404 Nursery Dr Ste 300
Victoria, TX 77904-1688

Mailing address

6404 Nursery Dr Ste 300
Victoria, TX 77904-1688
Phone (361) 570-8311

Other identifiers 2

IdentifierTypeStateIssuer
P00243956OtherTXRAILROAD MEDICARE
1777955-01MedicaidTX

Other names 1

  • The Surgery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050628000206 TX Part B Supplier - Ambulatory Surgical Center 0345285573 Practice locations: Victoria, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Victoria Ambulatory Surgery Center Dba the Surgery CenterCCN 45C0001274
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
45D0973606Victoria Ambulatory Surgery Center6404 Nursery Drive, Suite 300, Victoria, TX 77904Certificate of waiverMay 24, 2028

National Provider Directory

National Provider Directory

Member of 3

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

Locations

6370 N Navarro St
Victoria, TX 77904
Phone (361) 570-8311

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1346237328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 NURSERY DR STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041688",
            "telephone_number": "361-570-8311",
            "fax_number": "361-570-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 NURSERY DR STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041688",
            "telephone_number": "361-570-8311",
            "fax_number": "361-570-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA AMBULATORY SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "CRAFTS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-729-4009"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "008190",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00243956",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1777955-01",
            "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": "The Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.