Organization Active NPI

Waxahachie Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Waxahachie, TX
National Provider Identifier
1831665983
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WAXAHACHIE SURGERY CENTER
Practice address
101 YMCA Dr
Waxahachie, TX 75165-5124
Phone
(972) 938-7909
Fax
(972) 938-2966
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Dr. Deepak Sobti, MDNPI 1790002814
Title
Owner
Phone
(520) 329-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

101 YMCA Dr
Waxahachie, TX 75165-5124

Mailing address

101 YMCA Dr
Waxahachie, TX 75165-5124
Phone (469) 505-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190201000269 TX Part B Supplier - Ambulatory Surgical Center 7315284189 Practice locations: Waxahachie, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Waxahachie Surgery CenterCCN 45C0001401
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
45D1047226Waxahachie Surgery Center101 YMCA Dr, Waxahachie, TX 75165Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

Locations

101 Ymca Dr
Ste 200
Waxahachie, TX 75165
Phone (469) 505-2020

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": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1831665983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 YMCA DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655124",
            "telephone_number": "469-505-2020",
            "fax_number": "469-505-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YMCA DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655124",
            "telephone_number": "972-938-7909",
            "fax_number": "972-938-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXAHACHIE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "SOBTI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-329-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.