Organization Active NPI

Vivere Health Austin, LLC

Doing business as Vivere Austin Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1437597812
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VIVERE HEALTH AUSTIN, LLC
Doing business as
Vivere Austin Surgery Center
Practice address
2200 Park Bend Dr BLDG 3
Ste 200
Austin, TX 78758-5387
Phone
(512) 730-0471
Fax
(512) 327-2879
NPI assigned
Jun 7, 2013
Last updated
Jun 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VIVERE HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Don Knight
Title
VP of ASC Operations & Finances
Phone
(281) 682-0466

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Park Bend Dr BLDG 3
Ste 200
Austin, TX 78758-5387

Mailing address

2200 Park Bend Dr., BLDG 3, Ste. 200
Austin, TX 78758-5387
Phone (512) 730-0471

Other names 1

  • Vivere Austin Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140122001208 TX Part B Supplier - Ambulatory Surgical Center 8729216668 Practice locations: Austin, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Vivere Austin Surgery CenterCCN 45C0001556
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
45D2064562Vivere Health Austin LLC2200 Park Bend Drive Building 3,Suite 200, Austin, TX 78758Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2200 Park Bend Dr
Bldg 3
Austin, TX 78758
Phone (512) 730-0471

Practitioners & affiliated clinicians

Practitioners 4

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": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1437597812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR., BLDG 3, STE. 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-730-0471",
            "fax_number": "512-730-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR BLDG 3",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-730-0471",
            "fax_number": "512-327-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVERE HEALTH AUSTIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVERE HEALTH LLC",
        "enumeration_date": "2013-06-07",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "VP OF ASC OPERATIONS & FINANCES",
        "authorized_official_telephone_number": "281-682-0466"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivere Austin Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vivere Austin Surgery Center",
            "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 Jun 14, 2021; 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.