Active NPI
Kingwood Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Humble, TX
National Provider Identifier
1619265295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- KINGWOOD SURGERY CENTER LLC
- Practice address
- 19502 McKay Blvd
Suite 101
Humble, TX 77338-5707 - Phone
- (281) 312-6900
- NPI assigned
- Jul 15, 2011
- 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
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
19502 McKay Blvd
Suite 101
Humble, TX 77338-5707
Mailing address
19502 McKay Dr Ste 101
Humble, TX 77338-5720
Other names 1
- Humble Kingwood Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120405000373 | TX | Part B Supplier - Ambulatory Surgical Center | 8022279744 | Practice locations: Humble, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Kingwood Surgery Center LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 45D2030151 | Kingwood Surgery Center, LLC | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1619265295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19502 MCKAY DR STE 101",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19502 MCKAY BLVD",
"address_2": "SUITE 101",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773385707",
"telephone_number": "281-312-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGWOOD SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-15",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Humble Kingwood Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.