SPICEWOOD SURGERY CENTER
NPI 1083176309
Clinic/Center - Ambulatory Surgical in Austin, TX

Active since April 04, 2019CLIA 45D2171924 · Waiver
13617 CALDWELL DR STE 200, AUSTIN, TX 78750(512) 637-5563 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Jul 24, 2023, Feb 25, 2021 and 3 more (6 updates tracked since 2019).

About Spicewood Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPICEWOOD SURGERY CENTER (NPI 1083176309) is a healthcare organization registered as an ambulatory surgical in Austin, Texas and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Peter Blach, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1083176309
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPICEWOOD SURGERY CENTER LLC
Location Address13617 CALDWELL DR STE 200Austin, TX 78750-2324
Mailing Address13617 Caldwell Dr Ste 200Austin, TX 78750-2324 · (512) 637-5563
Organization SubpartNo
Authorized OfficialPeter BlachAuthorized Official · (713) 343-0832
Enumeration DateApril 4, 2019
Last NPPES UpdateNovember 20, 20246 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1083176309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
13617 CALDWELL DR STE 200, Austin, TX 78750

Other Names 1

Doing Business AsSpicewood Surgery Center

Other Identifiers 1

Other1083176309TX · Npi

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2171924

Spicewood Surgery Center · Austin, TX
Active · expires Sep 10, 2027
CLIA Number45D2171924
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorJames Fay
Laboratory Phone(512) 637-5563
Laboratory LocationSpicewood Surgery Center13617 Caldwell Drive Suite 200, Austin, TX 78750
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
351 services158 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
335 services193 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
324 services102 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
222 services121 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
164 services139 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
154 services54 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
13617 CALDWELL DR STE 200
AUSTIN, TX 78750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spicewood Surgery Center LLC's NPI number?

The NPI number for Spicewood Surgery Center LLC is 1083176309. It was assigned to this organization in the NPPES registry on April 4, 2019. The provider is doing business as Spicewood Surgery Center.

Where is Spicewood Surgery Center LLC located?

Spicewood Surgery Center LLC is located at 13617 Caldwell Dr Ste 200, Austin, TX 78750. The listed phone number is (512) 637-5563.

What is Spicewood Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Spicewood Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2171924) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spicewood Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Spicewood Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spicewood Surgery Center LLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.