CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC NPI 1164448486

NPI Information

  • NPI: 1164448486
  • Provider Name: CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER-STONE OAK
  • CLIA Number: 45D1056990
  • Address: 502 MADISON OAK DR STE 500
    SAN ANTONIO, TX
    ZIP 78258
  • Phone: (210) 499-6700

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NPI Details

CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC is an ambulatory surgical clinic center in San Antonio, TX. CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC NPI is 1164448486. The provider is registered as an organization entity type.
The provider Is Doing Business As Christus Santa Rosa Physicians Ambulatory Surgery Center-stone Oak.

The provider's business location address is:

502 MADISON OAK DR STE 500
SAN ANTONIO, TX
ZIP 78258-193
Phone: (210) 499-6700
Fax: (210) 499-6701

The provider's authorized official is Gary K Ruff .
The authorized official title is President and has the following contact phone number (469) 282-2637.

The CLIA number assigned to this NPI record is 45D1056990 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Correction of toe joint deformity (HCPCS:28285)
  • Removal of excessive skin of upper eyelid (HCPCS:15822)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Correction of bunion with 2 areas of realignment (HCPCS:28299)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser (HCPCS:67040)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 5/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical008396TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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