Southwest Ambulatory Surgery Center, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHWEST AMBULATORY SURGERY CENTER, PLLC

Practice address

3030 Gateway Blvd E
El Paso, TX 79905-1014

Phone

(915) 373-9066

Fax

(915) 298-5430

NPI assigned

Nov 9, 2022

Last updated

Nov 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chikezie Chidiebere Amadi, M.D.NPI 1487616918

Title

Owner/Medical Director

Phone

(915) 373-9066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790493641. Details of each certification follow.

• CCN 45C0451306 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 45C0451306

Legal name

Southwest Ambulatory Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 2, 2025

Last certification

Apr 2, 2025

Ownership / control type

Proprietary

Facility address

3030 Gateway Boulevard East
El Paso, TX 79905

Locations

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.

• Chikezie Chidiebere Amadi, M.D.

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1487616918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1790493641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 N ZARAGOZA RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368034",
            "telephone_number": "915-373-9066",
            "fax_number": "915-298-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GATEWAY BLVD E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051014",
            "telephone_number": "915-373-9066",
            "fax_number": "915-298-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST AMBULATORY SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "CHIKEZIE",
        "authorized_official_middle_name": "CHIDIEBERE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "915-373-9066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in El Paso, TX
• Providers in El Paso, 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 Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.