Organization Active NPI

Clear Lake Surgery Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1508003286
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
J7218 Issued in TX
Legal business name
CLEAR LAKE SURGERY CENTER, PLLC
Practice address
14018 Aesthetic Cir
Houston, TX 77062-2373
Phone
(281) 204-8017
Fax
(281) 204-8018
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samir M Sukkar, MDNPI 1902844509
Title
President
Phone
(281) 990-8487

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X J7218 TX Primary

Addresses

Primary practice location

14018 Aesthetic Cir
Houston, TX 77062-2373

Mailing address

14018 Aesthetic Cir
Houston, TX 77062-2373
Phone (281) 204-8017

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
45D2228535PS Surgery Center14018 Aesthetic Circle, Houston, TX 77062Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

1616 Clear Lake City Blvd
Ste 102A
Houston, TX 77062

Practitioners & affiliated clinicians

Practitioners 1

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1508003286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14018 AESTHETIC CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622373",
            "telephone_number": "281-204-8017",
            "fax_number": "281-204-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14018 AESTHETIC CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622373",
            "telephone_number": "281-204-8017",
            "fax_number": "281-204-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "SUKKAR",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-990-8487",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "J7218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.