Capital Surgeons Group, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CAPITAL SURGEONS GROUP, PLLC

Practice address

3705 Medical Pkwy Ste 250
Austin, TX 78705-1022

Phone

(512) 302-1210

Fax

(512) 451-9752

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Susan A. Clarke

Title

Cfo

Phone

(512) 334-1899

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22422/brand/1/csg/1/fhir/r4

Practitioners 21

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

• Eric M. Acheson, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1730152448
  Medicare reassignment Care Compare group NPD
• Ankur Prakash Bhakta, DO

  • Surgery Physician
  • Austin, TX
  • NPI 1164714127

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Zachary Lynn Crislip, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1326305616
  Medicare reassignment Care Compare group NPD
• Steven M Fass, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1932188711
  Medicare reassignment Care Compare group NPD
• Tim L Faulkenberry, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1114906070
  Medicare reassignment Care Compare group NPD
• Shumaila Nooruddin Khawja, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1326466384
  Medicare reassignment Care Compare group NPD
• Romeo A Lainez, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1518157031
  Medicare reassignment Care Compare group NPD
• Erik Greg Lough, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1215110440
  Medicare reassignment Care Compare group NPD
• Jonathan Bergendahl Lundy, M.D.

  • Surgery Physician
  • Fort Sam Houston, TX
  • NPI 1841344678
  Medicare reassignment Care Compare group NPD
• Nancy G Marquez, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1912986803
  Medicare reassignment Care Compare group NPD
• Syed Sameer Mohiuddin, D.O.

  • Surgery Physician
  • Kyle, TX
  • NPI 1568664670
  Medicare reassignment Care Compare group NPD
• Gabriel Jesus Salinas Jr., M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1760773295
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1891745592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-302-1210",
            "fax_number": "512-451-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051022",
            "telephone_number": "512-302-1210",
            "fax_number": "512-451-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL SURGEONS GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-334-1899"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Pediatric Group
• Capital Pediatric Group Associates
• Capital Pharmacy, LLC
• Capital Prosthetics & Orthotics, LLC
• Capital Rehabilitation Associates PA
• Capital Therapy Group, LLC
• Capital Toxicology, LLC
• Capitol Anesthesiology Association
• Capitol CC, Inc.
• Capitol City Family Practice

• Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.