Organization Active NPI

MBC Ambulatory Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1710082680
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008536 Issued in TX
Legal business name
MBC AMBULATORY SURGERY CENTER, LP
Doing business as
Mann Cataract Surgery Center
Practice address
5115 Fannin St Ste 1010
Houston, TX 77004-5805
Phone
(713) 580-2500
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Jill Rosales
Title
Credentialing
Phone
(713) 275-2457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008536 TX Primary

Addresses

Primary practice location

5115 Fannin St Ste 1010
Houston, TX 77004-5805

Mailing address

PO Box 4346
Dept 368
Houston, TX 77210-4346
Phone (713) 275-2457

Other identifiers 1

IdentifierTypeStateIssuer
194171801MedicaidTX

Other names 1

  • Mann Cataract Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000033 TX Part B Supplier - Ambulatory Surgical Center 6608859830 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
MBC Ambulatory Surgery Center LP Dba Mann Cataract Surgery CenterCCN 45C0001464
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
45D1064215MBC Ambulatory Surgery Center, LP Dba5115 Fannin St Ste 1010, Houston, TX 77004Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mann Cataract Surgery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5115 Fannin St
Ste 1010
Houston, TX 77004
Phone (713) 275-2437

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1710082680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 368",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 FANNIN ST STE 1010",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045805",
            "telephone_number": "713-580-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC AMBULATORY SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "713-275-2457"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194171801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mann Cataract Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mann Cataract Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2025; 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.