Active NPI
Ehi Surgery Center Austin, LLC
Doing business as Legent Outpatient Surgery - Austin
- Ambulatory Surgical Clinic/Center
- Austin, TX
National Provider Identifier
1497173801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 130186
- Legal business name
- EHI SURGERY CENTER AUSTIN, LLC
- Doing business as
- Legent Outpatient Surgery - Austin
- Practice address
- 3107 Oak Creek Drive Suite 100
Austin, TX 78727 - Phone
- (512) 861-0700
- Fax
- (512) 861-0702
- NPI assigned
- Apr 2, 2014
- Last updated
- Nov 5, 2025
- 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
- Jordan Fowler
- Title
- Ceo
- Phone
- (917) 216-6285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 130186 | TX | Primary |
Addresses
Primary practice location
3107 Oak Creek Drive Suite 100
Austin, TX 78727
Mailing address
3107 Oak Creek Dr Ste 100
Austin, TX 78727-3025
Phone (512) 861-0700
Other names 1
- Legent Outpatient Surgery - 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 |
|---|---|---|---|---|
| O20170627000475 | TX | Part B Supplier - Ambulatory Surgical Center | 6709155229 | Practice locations: Austin, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Ehi Surgery Center Austin 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 |
|---|---|---|---|
| 45D2007518 | Legent Outpatient Surgery -Austin | Certificate of waiver | May 17, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Ehi Surgery Center Austin LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1326469172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1497173801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 OAK CREEK DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787273025",
"telephone_number": "512-861-0700",
"fax_number": "682-223-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 OAK CREEK DRIVE SUITE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78727",
"telephone_number": "512-861-0700",
"fax_number": "512-861-0702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EHI SURGERY CENTER AUSTIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-02",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "FOWLER",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-216-6285"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "130186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legent Outpatient Surgery - Austin",
"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 Nov 5, 2025; 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.