Active NPI
Cedar Park Surgery Center LLP
Doing business as Hill Country Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Cedar Park, TX
National Provider Identifier
1861405607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008256
- Legal business name
- CEDAR PARK SURGERY CENTER LLP
- Doing business as
- Hill Country Ambulatory Surgery Center
- Practice address
- 1411 Medical Pkwy Ste 100
Cedar Park, TX 78613-2778 - Phone
- (512) 528-2000
- Fax
- (512) 528-2020
- NPI assigned
- Aug 14, 2006
- Last updated
- Oct 4, 2024
- 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
- Peter Blach
- Title
- Officer/Authorized Official
- Phone
- (713) 434-0832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008256 | TX | Primary |
Addresses
Primary practice location
1411 Medical Pkwy Ste 100
Cedar Park, TX 78613-2778
Mailing address
1411 Medical Pkwy Ste 100
Cedar Park, TX 78613-2778
Phone (512) 528-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178603001 | Medicaid | TX |
Other names 1
- Hill Country Ambulatory Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060315000377 | TX | Part B Supplier - Ambulatory Surgical Center | 6608883731 | Practice locations: Cedar Park, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Cedar Park Surgery Center LLP Dba Hill Country Surgery Center
- 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 |
|---|---|---|---|
| 45D1046217 | Hill Country Ambulatory Surgery Center | Certificate of waiver | Oct 3, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Ascension Seton Bastrop Health Center
- Rural Health Clinic/Center
- Bastrop, TX
- NPI 1700392602
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1518967231
Member Of
-
dba Baptist Health System
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1487633509
Member Of
Locations
1411 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 528-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1861405607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 MEDICAL PKWY STE 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132778",
"telephone_number": "512-528-2000",
"fax_number": "512-528-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 MEDICAL PKWY STE 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132778",
"telephone_number": "512-528-2000",
"fax_number": "512-528-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR PARK SURGERY CENTER LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "BLACH",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "713-434-0832"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "008256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178603001",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Hill Country Ambulatory Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.