SURGICAL ASSISTING OF EAST TEXAS, LLC
NPI 1588874887
Specialist in Tyler, TX

Active since May 23, 2007
828 S FLEISHEL AVE, TYLER, TX 75701(903) 646-5350(888) 501-1092 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Jan 7, 2021, Feb 2, 2016 (3 updates tracked since 2016).

About Surgical Assisting Of East Texas, Llc NPPES

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

SURGICAL ASSISTING OF EAST TEXAS, LLC (NPI 1588874887) is a healthcare organization registered as a specialist in Tyler, Texas and active in the NPI registry since May 2007. The organization lists Melissa Burton, President, as its authorized official.

NPPES Registry Identity

NPI1588874887
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSURGICAL ASSISTING OF EAST TEXAS, LLC
Location Address828 S FLEISHEL AVETyler, TX 75701-2042
Mailing AddressPo Box 10084Tyler, TX 75711-0084 · (903) 646-5350 · Fax (888) 501-1092
Fax(888) 501-1092
Organization SubpartNo
Authorized OfficialMelissa BurtonPresident · (903) 646-5350
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1588874887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · SA00364
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
828 S FLEISHEL AVE, Tyler, TX 75701

Other Identifiers 1

OtherSA00364TX · License

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Assisting Of East Texas, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Surgical Assisting Of East Texas, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1568959427
828 S FLEISHEL AVE
Tyler, TX 75701
(903) 646-5350
✔ 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 Surgical Assisting Of East Texas, LLC's NPI number?

The NPI number for Surgical Assisting Of East Texas, LLC is 1588874887. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Surgical Assisting Of East Texas, LLC located?

Surgical Assisting Of East Texas, LLC is located at 828 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 646-5350.

What is Surgical Assisting Of East Texas, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Surgical Assisting Of East Texas, LLC enrolled in Medicare?

Yes. Surgical Assisting Of East Texas, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Assisting Of East Texas, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Surgical Assisting Of East Texas, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Surgical Assisting Of East Texas, LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.