Organization Active NPI

Royal Surgical Group, LLC

  • Surgical Technologist
  • Sugar Land, TX
National Provider Identifier
1629367628
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
ROYAL SURGICAL GROUP, LLC
Practice address
16605 Southwest Fwy
Suite 510
Sugar Land, TX 77479-3501
Phone
(832) 532-7100
Fax
(832) 532-7410
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Jay M. Shenaq, M.D.NPI 1255421483
Title
President
Phone
(832) 532-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X NU Primary

Addresses

Primary practice location

16605 Southwest Fwy
Suite 510
Sugar Land, TX 77479-3501

Mailing address

PO Box 79666
Houston, TX 77279-9666
Phone (832) 532-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241107003948 TX Part B Supplier - Clinic/Group Practice 4284168626 Receives reassigned benefits from 2 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

16605 Southwest Fwy
Ste 510
Sugar Land, TX 77479
Phone (832) 532-7100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1629367628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79666",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772799666",
            "telephone_number": "832-532-7100",
            "fax_number": "832-532-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 SOUTHWEST FWY",
            "address_2": "SUITE 510",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793501",
            "telephone_number": "832-532-7100",
            "fax_number": "832-532-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "SHENAQ",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-532-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.