CEDAR PARK SURGEONS PA
NPI 1265620991
Surgery in Cedar Park, TX

Active since October 09, 2007
1410 MEDICAL PKWY STE 1, CEDAR PARK, TX 78613(512) 260-3444(512) 260-3555 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cedar Park Surgeons Pa NPPES

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

CEDAR PARK SURGEONS PA (NPI 1265620991) is a healthcare organization registered as a surgery in Cedar Park, Texas and active in the NPI registry since October 2007. The organization lists Nicole R Basa, President, as its authorized official.

NPPES Registry Identity

NPI1265620991
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCEDAR PARK SURGEONS PA
Location Address1410 MEDICAL PKWY STE 1Cedar Park, TX 78613-2543
Mailing Address1410 Medical Pkwy Ste 1Cedar Park, TX 78613-2543 · (512) 260-3444 · Fax (512) 260-3555
Fax(512) 260-3555
Organization SubpartNo
Authorized OfficialNicole R BasaPresident · (512) 260-3444
Enumeration DateOctober 9, 2007
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1265620991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · M7029
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1410 MEDICAL PKWY STE 1, Cedar Park, TX 78613

Other Identifiers 2

Medicaid190188601TX
Other0020QHTX · Bcbs Tx

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cedar Park Surgeons Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cedar Park Surgeons PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1073561387
1410 MEDICAL PKWY SUITE 1
Cedar Park, TX 78613
(512) 260-3444
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1508969452
1410 MEDICAL PKWY SUITE 1
Cedar Park, TX 78613
(512) 260-3444
✔ PECOS✔ Accepts MedicareSame address

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 Cedar Park Surgeons PA's NPI number?

The NPI number for Cedar Park Surgeons PA is 1265620991. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Cedar Park Surgeons PA located?

Cedar Park Surgeons PA is located at 1410 Medical Pkwy Ste 1, Cedar Park, TX 78613. The listed phone number is (512) 260-3444.

What is Cedar Park Surgeons PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cedar Park Surgeons PA enrolled in Medicare?

Yes. Cedar Park Surgeons PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cedar Park Surgeons PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Cedar Park Surgeons PA. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cedar Park Surgeons PA accept?

Health plans from Harbor Health and Moda Health Plan, Inc. list Cedar Park Surgeons PA 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 Cedar Park Surgeons PA was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.