HYDE PARK SURGERY CENTER LLC NPI 1962671487

NPI Information

  • NPI: 1962671487
  • Provider Name: HYDE PARK SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: HYDE PARK SURGERY CENTER, LP
  • CLIA Number: 45D1080997
  • Address: 4611 GUADALUPE ST., SUITE 100
    AUSTIN, TX
    ZIP 78751
  • Phone: (512) 420-2303

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NPI Details

HYDE PARK SURGERY CENTER, LLC is an ambulatory surgical clinic center in Austin, TX. HYDE PARK SURGERY CENTER, LLC NPI is 1962671487. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hyde Park Surgery Center, Lp.

The provider's business location address is:

4611 GUADALUPE ST., SUITE 100
AUSTIN, TX
ZIP 78751-908
Phone: (512) 420-2303
Fax: (512) 420-2379

The provider's authorized official is Peter Blach .
The authorized official title is Officer/authorized Official and has the following contact phone number (713) 343-0832.

The CLIA number assigned to this NPI record is 45D1080997 - 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.

  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Correction of toe joint deformity (HCPCS:28285)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Incision or partial removal of foot bone (other than big toe) to straighten toe (HCPCS:28308)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Incision of nasal sinus using an endoscope (HCPCS:31256)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Reshaping of nasal cartilage (HCPCS:30520)

The enumeration date for this NPI number is 2/28/2008 and was last updated on 10/9/2024.

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 SurgicalNo
2261QA1903XClinic/CenterAmbulatory Surgical008677TEXASYes

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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