Organization Active NPI

South Austin Surgery Center LTD

Doing business as Surgicare of South Austin

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1386609964
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007954 Issued in TX
Legal business name
SOUTH AUSTIN SURGERY CENTER LTD
Doing business as
Surgicare of South Austin
Practice address
4307 James Casey St
Austin, TX 78745-3365
Phone
(512) 416-6006
Fax
(512) 416-0881
NPI assigned
Apr 18, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007954 TX Primary

Addresses

Primary practice location

4307 James Casey St
Austin, TX 78745-3365

Mailing address

4307 James Casey St
Austin, TX 78745-3365
Phone (512) 416-6006

Other identifiers 1

IdentifierTypeStateIssuer
1599086MedicaidTX

Other names 1

  • Surgicare of South Austin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000505 TX Part B Supplier - Ambulatory Surgical Center 9133282213 Practice locations: Austin, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
South Austin Surgery Center LTDCCN 45C0001284
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
45D0982326South Austin Surgery LTD4307 James Casey, Austin, TX 78745Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Member of 1

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

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1386609964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 JAMES CASEY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453365",
            "telephone_number": "512-416-6006",
            "fax_number": "512-416-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 JAMES CASEY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453365",
            "telephone_number": "512-416-6006",
            "fax_number": "512-416-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AUSTIN SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1599086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgicare of South Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.