Organization Active NPI

Alpha Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tomball, TX
National Provider Identifier
1497528848
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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 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
45D2325648Alpha Surgical Center Creekside, LLC26940 Kuykendahl Rd Suite 300, Tomball, TX 77375Certificate of waiverJun 16, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260123001963 TX Part B Supplier - Ambulatory Surgical Center 8022595701 Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

26940 Kuykendahl Rd
Ste 300
Tomball, TX 77375
Phone (346) 336-7800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.