Organization Active NPI

Plano Ambulatory Surgery Associates, LP

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
National Provider Identifier
1568427151
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000284 Issued in TX
Legal business name
PLANO AMBULATORY SURGERY ASSOCIATES, LP
Practice address
4005 West 15TH St
Plano, TX 75093
Phone
(972) 519-1100
Fax
(972) 519-1393
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000284 TX Primary

Addresses

Primary practice location

4005 West 15TH St
Plano, TX 75093

Mailing address

4005 W 15TH St
Plano, TX 75093-5818
Phone (972) 519-1100

Other identifiers 2

IdentifierTypeStateIssuer
000284OtherTXSTATE LICENSE NUMBER
085942301MedicaidTX

Other names 1

  • Surgery Center of Plano Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081004000071 TX Part B Supplier - Ambulatory Surgical Center 4587732532 Practice locations: Plano, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Plano Ambulatory Surgery Associates LPCCN 45C0001172
Medicare certification status
ActiveFrom the Provider of Services file

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
45D0886429Surgery Center of Plano4005 W 15TH Street, Plano, TX 75093Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1568427151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935818",
            "telephone_number": "972-519-1100",
            "fax_number": "972-519-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WEST 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-519-1100",
            "fax_number": "972-519-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO AMBULATORY SURGERY ASSOCIATES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "000284",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085942301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.