Active NPI
Alpha Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Tomball, TX
National Provider Identifier
1497528848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ALPHA SURGICAL CENTER LLC
- Practice address
- 26940 Kuykendahl Rd Ste 300
Tomball, TX 77375-3515 - Phone
- (346) 336-7800
- NPI assigned
- Nov 6, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David P Ellent, MD
- Title
- Managing Partner
- Phone
- (281) 961-4100
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 |
|---|---|---|---|
| 45D2325648 | Alpha Surgical Center Creekside, LLC | Certificate of waiver | Jun 16, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260123001963 | TX | Part B Supplier - Ambulatory Surgical Center | 8022595701 | Practice locations: Tomball, TX |
National Provider Directory
National Provider DirectoryLocations
26940 Kuykendahl Rd
Ste 300
Tomball, TX 77375
Phone (346) 336-7800
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
26940 Kuykendahl Rd Ste 300
Tomball, TX 77375-3515
Mailing address
24727 State Highway 249 Ste 100
Tomball, TX 77375-7877
Phone (346) 336-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2023.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702425600000",
"number": "1497528848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24727 STATE HIGHWAY 249 STE 100",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773757877",
"telephone_number": "346-336-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26940 KUYKENDAHL RD STE 300",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773753515",
"telephone_number": "346-336-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-06",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A",
"authorized_official_last_name": "ELLENT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "281-961-4100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.