ANGELINA SURGICAL ASSOCIATES
NPI 1093865214
Surgery in Lufkin, TX
About Angelina Surgical Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELINA SURGICAL ASSOCIATES (NPI 1093865214) is a healthcare organization registered as a surgery in Lufkin, Texas and active in the NPI registry since January 2007. The organization lists Betty Marie Grimes, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angelina Surgical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Angelina Surgical Associates, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Angelina Surgical Associates's NPI number?
The NPI number for Angelina Surgical Associates is 1093865214. It was assigned to this organization in the NPPES registry on January 11, 2007.
Where is Angelina Surgical Associates located?
Angelina Surgical Associates is located at 109 Westside Medical Blvd, Lufkin, TX 75904. The listed phone number is (936) 634-8216.
What is Angelina Surgical Associates's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Angelina Surgical Associates enrolled in Medicare?
Yes. Angelina Surgical Associates is registered in the Medicare PECOS enrollment system.
When is Angelina Surgical Associates's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Angelina Surgical Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in General Surgery, reassign their Medicare billing to Angelina Surgical Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Angelina Surgical Associates was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Angelina Surgical Associates · NPI 1093865214
Surgery organization in Lufkin, Texas. Organization record, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1093865214 (Entity type: Organization)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Betty Grimes, ADMINISTRATOR
## Practice location
- **Address:** 109 WESTSIDE MEDICAL BLVD, Lufkin, TX 75904-1461
- **Phone:** (936) 634-8216 · **Fax:** (936) 888-2201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (General Surgery) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2026
- **Other identifiers:** Other 0010EV (TX); Medicaid 079667401 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1093865214) · Data from the CMS NPPES public registry.