Organization Active NPI

Cy Fair Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1639195217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007157 Issued in TX
Legal business name
CY FAIR SURGERY CENTER
Practice address
11250 Fallbrook Dr
Houston, TX 77065-4229
Phone
(281) 955-7194
Fax
(281) 890-0895
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sonja Christmas
Title
Administrator
Phone
(281) 955-7194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007157 TX Primary

Addresses

Primary practice location

11250 Fallbrook Dr
Houston, TX 77065-4229

Mailing address

11250 Fallbrook Dr
Houston, TX 77065-4229
Phone (281) 955-7194

Other identifiers 3

IdentifierTypeStateIssuer
323739OtherPABLUECROSS BLUESHIELD
4442612OtherTXAETNA
HH1348OtherTXBLUECROSS BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000109 TX Part B Supplier - Ambulatory Surgical Center 3779558606 Practice locations: Houston, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cy Fair Surgery CenterCCN 45C0001160
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
45D0874442Cy-Fair Surgery Center11250 Fallbrook Drive, Houston, TX 77065Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

11250 Fallbrook Dr
Houston, TX 77065
Phone 281580903011

Practitioners & affiliated clinicians

Practitioners 1

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639195217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654229",
            "telephone_number": "281-955-7194",
            "fax_number": "281-890-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654229",
            "telephone_number": "281-955-7194",
            "fax_number": "281-890-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CY FAIR SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTMAS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-955-7194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "323739",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4442612",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "HH1348",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.