Active NPI
Sergio O Giles, LSA, CSA, CSFA
- Surgical Assistant
- Bryans Road, MD
National Provider Identifier
1629351150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00564
- Practice address
- 7060 Heather Dr
Bryans Road, MD 20616-4234 - Phone
- (682) 426-8974
- NPI assigned
- Sep 21, 2011
- Last updated
- Sep 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00564 | TX | Primary |
Addresses
Primary practice location
7060 Heather Dr
Bryans Road, MD 20616-4234
Mailing address
7060 Heather Dr
Bryans Road, MD 20616-4234
Phone (682) 426-8974
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3143 | Other | CERTIFIED SURGICAL ASSISTANT | |
| SA00564 | Other | TX | LICENSE SURGICAL ASSISTANT |
| 183346 | Other | CERTIFIED SURGICAL FIRST ASSISTANT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00564 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agile Surgical Assistants, LLC | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgical Physician Assistant
- Fort Worth, TX
- NPI 1366976235
Surgical Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1629351150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7060 HEATHER DR",
"city": "BRYANS ROAD",
"state": "MD",
"postal_code": "206164234",
"telephone_number": "682-426-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7060 HEATHER DR",
"city": "BRYANS ROAD",
"state": "MD",
"postal_code": "206164234",
"telephone_number": "682-426-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "SERGIO",
"middle_name": "O",
"credential": "LSA, CSA, CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED SURGICAL ASSISTANT",
"identifier": "3143",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE SURGICAL ASSISTANT",
"identifier": "SA00564",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED SURGICAL FIRST ASSISTANT",
"identifier": "183346",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryans Road, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.