Active NPI
Plum Creek Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Kyle, TX
National Provider Identifier
1487386124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PLUM CREEK SURGERY CENTER, LLC
- Practice address
- 4214 Benner
Kyle, TX 78640-2232 - Phone
- (737) 787-1882
- Fax
- (737) 787-1897
- NPI assigned
- Jun 30, 2022
- 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
- Dr. Alan D Silberberg, MD
- Title
- MD/Owner
- Phone
- (737) 787-1882
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4214 Benner
Kyle, TX 78640-2232
Mailing address
4214 Benner
Kyle, TX 78640-2232
Phone (737) 787-1882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130573 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220727003661 | TX | Part B Supplier - Ambulatory Surgical Center | 0547642266 |
Receives reassigned benefits from 5 practitioners Practice locations: Kyle, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Plum Creek Surgery Center LLC
- 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 |
|---|---|---|---|
| 45D2264262 | Plum Creek Surgery Center, LLC | Certificate of waiver | Jul 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
4214 Benner
Kyle, TX 78640
Phone (512) 298-1645
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656547200000",
"number": "1487386124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 BENNER",
"city": "KYLE",
"state": "TX",
"postal_code": "786402232",
"telephone_number": "737-787-1882",
"fax_number": "737-787-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 BENNER",
"city": "KYLE",
"state": "TX",
"postal_code": "786402232",
"telephone_number": "737-787-1882",
"fax_number": "737-787-1897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLUM CREEK SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A",
"authorized_official_last_name": "SILBERBERG",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "737-787-1882",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "130573",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.