Southwest Endoscopy and Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008364 Issued in TX

Legal business name

SOUTHWEST ENDOSCOPY AND SURGERY CENTER

Practice address

701 E Rendon Crowley Rd
Burleson, TX 76028-7536

Phone

(817) 293-9292

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mukhtar Anees, M.D.NPI 1073714200

Title

Ceo

Phone

(817) 293-9292

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Endoscopy & Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Burleson, TX
  • NPI 1447207857

  O20060824000431

  Same enrollment

Listed as

Southwest Endoscopy Surgery CenterCCN 45C0001184

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mukhtar Anees, M.D.

  • Gastroenterology Physician
  • Burleson, TX
  • NPI 1073714200
  NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1649494170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E RENDON CROWLEY RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287536",
            "telephone_number": "817-293-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E RENDON CROWLEY RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287536",
            "telephone_number": "817-293-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ENDOSCOPY AND SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ANEES",
        "authorized_official_first_name": "MUKHTAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-293-9292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "490002791",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085950601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1373",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arshdeep Sohi
• Shelby Solis, LCSW
• James E Sorensen, DC
• Southern Star Pediatric Speech Therapy, PLLC
• Southwest Endoscopy & Surgery Center
• Stephanie Spaight, NP
• Sally Spann, PA
• Brittany Diane Spear, DPT
• Terri L Speck, NP
• Samantha Leigh Spera

• Ambulatory Surgical Clinic/Center in Burleson, TX
• Providers in Burleson, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.