Active NPI
South Austin Surgery Center LTD
Doing business as Surgicare of South Austin
- Ambulatory Surgical Clinic/Center
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 007954
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1599086 | Medicaid | TX |
Other names 1
- Surgicare of South Austin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LTD
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0982326 | South Austin Surgery LTD | Certificate of waiver | Jan 22, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba North Austin Medical Center
- Rehabilitation Hospital Unit
- Austin, TX
- NPI 1881648863
Member Of
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.
-
- Urology Physician
- Austin, TX
- NPI 1871546283
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
- South Austin Orthopaedic Clinic PA
- South Austin Pharmacy LLC (South Austin Pharmacy)
- South Austin Rehabilitation & Wound Clinic Inc
- South Austin Senior Care LLC (HALO Senior Care LLC)
- South Austin Speech & Language, PLLC
- South Austin Therapy Group, Inc (South Austin Therapy)
- South Austin TX Caregiving LLC
- South Austin Womens Healthcare PA (The Women's Health Team)
- South Lamar Austin Emergency Center, LLC (Austin Emergency Room)
- South Meadows Recovery, Inc.
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.