Organization Active NPI

Ehi Surgery Center Austin, LLC

Doing business as Legent Outpatient Surgery - Austin

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1497173801
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130186 Issued in TX
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 45C0001626
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
45D2007518Legent Outpatient Surgery -Austin3107 Oak Creek Drive Suite100, Austin, TX 78727Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Ehi Surgery Center Austin LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.