Active NPI
Methodist Ambulatory Surgery Center of Boerne, LLC
- Ambulatory Surgical Clinic/Center
- Boerne, TX
National Provider Identifier
1700431798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- METHODIST AMBULATORY SURGERY CENTER OF BOERNE, LLC
- Doing business as
- Methodist ASC Boerne
- Practice address
- 110 Menger Springs
Boerne, TX 78006 - Phone
- (830) 331-6006
- Fax
- (830) 331-6016
- NPI assigned
- Aug 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
110 Menger Springs
Boerne, TX 78006
Mailing address
110 Menger SPGS
Boerne, TX 78006-7214
Phone (830) 331-6006
Other names 1
- Methodist ASC Boerne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200226002640 | TX | Part B Supplier - Ambulatory Surgical Center | 2466889779 | Practice locations: Boerne, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Methodist Ambulatory Surgery Center of Boerne LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2181547 | Methodist Surgery Center Boerne | Certificate of waiver | Apr 6, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1700431798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MENGER SPGS",
"city": "BOERNE",
"state": "TX",
"postal_code": "780067214",
"telephone_number": "830-331-6006",
"fax_number": "830-331-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MENGER SPRINGS",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-331-6006",
"fax_number": "830-331-6016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METHODIST AMBULATORY SURGERY CENTER OF BOERNE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "972-789-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Methodist ASC Boerne",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.