Organization Active NPI

NW Ambulatory Surgery Center LLP

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1568423945
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Nov 30, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130508OtherTXLICENSE

Other names 1

  • NW Surgery Center Doing business as

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 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
45D1024982NW Surgery Center4800 Federal Plaza Drive, Houston, TX 77092Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

NPI 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

Verify at the official NPI Registry.