Active NPI
NW Ambulatory Surgery Center LLP
- Ambulatory Surgical Clinic/Center
- Houston, TX
National Provider Identifier
1568423945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NW AMBULATORY SURGERY CENTER LLP
- Practice address
- 4800 Federal Plaza Drive
Houston, TX 77092 - Phone
- (713) 462-3194
- Fax
- (713) 462-7302
- NPI assigned
- Mar 28, 2006
- 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
- Tina Krause
- Title
- Administrator
- Phone
- (713) 462-3194
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4800 Federal Plaza Drive
Houston, TX 77092
Mailing address
4800 Federal Plaza Drive
Houston, TX 77092
Phone (713) 462-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130508 | Other | TX | LICENSE |
Other names 1
- NW Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Ambulatory surgical center certification: CCN 45C0001542
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- NW Ambulatory Surgery Center, LLP
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Dec 18, 2012
- Last certification
- May 18, 2016
- Ownership / control type
- Government
- Facility address
- 4800 Federal Plaza Drive
Houston, TX 77092
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 |
|---|---|---|---|
| 45D1024982 | NW Surgery Center | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606694400000",
"number": "1568423945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 FEDERAL PLAZA DRIVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77092",
"telephone_number": "713-462-3194",
"fax_number": "713-462-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FEDERAL PLAZA DRIVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77092",
"telephone_number": "713-462-3194",
"fax_number": "713-462-7302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NW AMBULATORY SURGERY CENTER LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2020-11-30",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "KRAUSE",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-462-3194"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "130508",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NW Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NW Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.