Organization Active NPI

Summit Surgical Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • El Paso, TX
National Provider Identifier
1871252809
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SUMMIT SURGICAL CENTER, PLLC
Practice address
959 Sunland Park Dr Ste 200
El Paso, TX 79922-1323
Phone
(866) 991-9030
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mark Gallardo, MD
Title
Owner/ Authorized Official
Phone
(915) 235-5564

Specialties & licenses 1

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

Addresses

Primary practice location

959 Sunland Park Dr Ste 200
El Paso, TX 79922-1323

Mailing address

959 Sunland Park Dr Ste 200
El Paso, TX 79922-1323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626000266 TX Part B Supplier - Ambulatory Surgical Center 6305204264 Practice locations: El Paso, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Summit Surgical Center PLLCCCN 45C0451279
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
45D2276895Summit Surgical Center, PLLC959 Sunland Park Dr, Ste a, El Paso, TX 79922Certificate of waiverFeb 15, 2027

National Provider Directory

National Provider Directory

Locations

959 Sunland Park Dr
Ste A
El Paso, TX 79922

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": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1871252809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 SUNLAND PARK DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 SUNLAND PARK DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221323",
            "telephone_number": "866-991-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/ AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "915-235-5564",
        "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 El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.