Active NPI
Central Texas Day Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 130129
- Legal business name
- CENTRAL TEXAS DAY SURGERY CENTER LLC
- Practice address
- 3800 S W S Young Dr Ste 204
Killeen, TX 76542-3340 - Phone
- (254) 245-9175
- Fax
- (254) 213-7771
- NPI assigned
- May 28, 2006
- Last updated
- Dec 30, 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
- Dr. Scott A Irvine
- Title
- President
- Phone
- (254) 245-9175
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 130129 | TX | Primary |
Addresses
Primary practice location
3800 S W S Young Dr Ste 204
Killeen, TX 76542-3340
Mailing address
PO Box 11538
Killeen, TX 76547-1538
Phone (254) 245-9177
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085869801 | Medicaid | TX | |
| 49004797 | Other | TX | PALMETTO GBA |
| 490000381 | Other | TX | CARE |
| HH1256 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050928000442 | TX | Part B Supplier - Ambulatory Surgical Center | 0143255281 | Practice locations: Killeen, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Central Texas Day Surgery Center Limited Partnership
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Killeen, TX
- NPI 1689800419
Member Of
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Anesthesiology Physician
- Killeen, TX
- NPI 1730175035
-
- Interventional Pain Medicine Physician
- Temple, TX
- NPI 1609024371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1962459610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11538",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765471538",
"telephone_number": "254-245-9177",
"fax_number": "254-245-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S W S YOUNG DR STE 204",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765423340",
"telephone_number": "254-245-9175",
"fax_number": "254-213-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL TEXAS DAY SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "IRVINE",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "254-245-9175",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "130129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085869801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "49004797",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE",
"identifier": "490000381",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "HH1256",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
- Cenikor Foundation (Care Counseling Services)
- Centex Health, PLLC
- Centex Rehabilitation
- Central Texas Behavioral Solutions, PLLC
- Central Texas Counseling Associates (Professional Counseling Service)
- Central Texas Holistic Care PLLC
- Central Texas Orthopaedic Clinic, PA
- Central Texas Pain Center, PLLC
- Central Texas Pain Center, PLLC
- Central Texas Pain Institute PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.