Organization Active NPI

Christus Santa Rosa Outpatient Surgery - New Braunfels, LP

Doing business as CHRISTUS Physicians Surgery Center - New Braunfels

  • Ambulatory Surgical Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1447212121
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130014 Issued in TX
Legal business name
CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, LP
Doing business as
CHRISTUS Physicians Surgery Center - New Braunfels
Practice address
1738 E Common St
New Braunfels, TX 78130-3156
Phone
(830) 643-8600
Fax
(830) 643-0444
NPI assigned
Apr 6, 2006
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Gary K Ruff
Title
President
Phone
(469) 282-2637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 130014 TX Primary

Addresses

Primary practice location

1738 E Common St
New Braunfels, TX 78130-3156

Mailing address

1738 E Common St
New Braunfels, TX 78130-3156
Phone (830) 643-8600

Other identifiers 1

IdentifierTypeStateIssuer
209083901MedicaidTX

Other names 1

  • CHRISTUS Physicians Surgery Center - New Braunfels Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090721000379 TX Part B Supplier - Ambulatory Surgical Center 2860470945 Practice locations: New Braunfels, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Christus Santa Rosa Physicians Ambulatory Surgery Center New BraunfelsCCN 45C0001365
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
45D1026132Christus Physicians Surgery Center - New Braunfels1738 E Common Street, New Braunfels, TX 78130Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory

Member of 2

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

Locations

598 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

628N Un Ave
New Braunfels, TX 78130
Phone (830) 606-1329

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1447212121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303156",
            "telephone_number": "830-643-8600",
            "fax_number": "830-643-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303156",
            "telephone_number": "830-643-8600",
            "fax_number": "830-643-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-282-2637"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209083901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Physicians Surgery Center - New Braunfels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.