PPG Special Procedures, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PPG SPECIAL PROCEDURES, LLC

Practice address

500 Lipscomb St
Fort Worth, TX 76104-2239

Phone

(817) 870-2616

NPI assigned

Mar 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Saravanan Balamuthusamy, MDNPI 1932395811

Title

Sole Member

Phone

(817) 870-2616

Specialties & licenses 1

Addresses

Other names 1

• PPG Surgical Procedures - Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Ambulatory surgical center certification: CCN 45C0451331

Legal name

PPG SURGICAL PROCEDURES SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 12, 2026

Last certification

Dec 5, 2025

Ownership / control type

Proprietary

Facility address

500 Lipscomb Street
Fort Worth, TX 76104

Member of 1

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

• PPG Health, PA

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1295736973

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saravanan Balamuthusamy, M.D.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1932395811
  NPD Authorized official
• Balamurugan Ponniah Sankarapandian, M.D.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1881816437
  NPD
• Sridhar Reddy Allam, M.D., M.P.H.

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1700061819
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1407557556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-725-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LIPSCOMB ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042239",
            "telephone_number": "817-870-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPG SPECIAL PROCEDURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "BALAMUTHUSAMY",
        "authorized_official_first_name": "SARAVANAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-870-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPG Surgical Procedures - Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Powers, SLP
• Megan Christine Powers, LAT
• Taylor Brooke Powers, MS/SLP-INTERN
• Kaylynn Kristina Poyner, DOCTOR OF OPTOMETRY
• PPG Health, PA
• Aditi Prabhakar
• Nikhita Prabhakar
• David Prabhu
• Practical Counseling Services
• Sidart Pradeep, MD

• Ambulatory Surgical Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.