NPIMap

Organization Active NPI

Psa Ambulatory Surgical Center of Austin LLC

Doing business as The Pain Relief SurgiCenter

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1659594190
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
64144 Issued in TX
Legal business name
PSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC
Doing business as
The Pain Relief SurgiCenter
Practice address
4100 Duval Road
BLDG 3 Ste 100
Austin, TX 78759
Phone
(855) 876-7246
Fax
(558) 277-5070
NPI assigned
Apr 11, 2007
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Julie Meyer
Title
Cfo
Phone
(512) 485-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 64144 TX Primary

Addresses

Primary practice location

4100 Duval Road
BLDG 3 Ste 100
Austin, TX 78759

Mailing address

PO Box 208373
Dallas, TX 75320-8373
Phone (512) 485-7208

Other names 1

  • The Pain Relief SurgiCenter Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000136 TX Part B Supplier - Ambulatory Surgical Center 1951483049 Practice locations: Austin, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Psa Ambulatory Surgical Center of AustinCCN 45C0001463
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
45D0928211Psa Ambulatory Surgical Center of Austin, LLC4100 Duval Rd BLDG 3 Suite 100, Austin, TX 78759Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Psa Ambulatory Surgical Center of Austin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1659594190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208373",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208373",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL ROAD",
            "address_2": "BLDG 3 STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78759",
            "telephone_number": "855-876-7246",
            "fax_number": "558-277-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSA AMBULATORY SURGICAL CENTER OF AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-485-7200"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "64144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pain Relief SurgiCenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pain Relief SurgiCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.