NORTHSTAR SURGICAL CENTER
NPI 1932104064
Clinic/Center - Ambulatory Surgical in Lubbock, TX

NPI Status: Active since June 15, 2005

Contact Information

4640 N LOOP 289
LUBBOCK, TX
ZIP 79416
Phone: (806) 761-4880
Fax: (806) 749-5944

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 45D0985682
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-24-2027

About NORTHSTAR SURGICAL CENTER

This page provides the complete NPI Profile along with additional information for Northstar Surgical Center, a provider established in Lubbock, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1932104064 assigned on June 2005. The practitioner's primary taxonomy code is 261QA1903X with license number ASC007292 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Northstar Surgical Center. The authorized official of this NPI record is Mr. Clifford G Adlerz (Ceo & President)

NPI
1932104064
Provider Legal Name
NORTHSTAR SURGICAL CENTER LP
Other Organization Name
NORTHSTAR SURGICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4640 N LOOP 289 LUBBOCK, TX 79416
Location Phone
(806) 761-4880
Location Fax
(806) 749-5944
Mailing Address
4640 N LOOP 289 LUBBOCK, TX 79416
Mailing Phone
(806) 761-4880
Mailing Fax
(806) 749-5944
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2005
Last Update Date
01-22-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
ASC007292
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CLIFFORD G ADLERZ

Authorized Official Title
CEO & PRESIDENT
Authorized Official Phone
(615) 234-5900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ASC111MEDICARE PIN (08) 
49-0005111OTHER (01)TXRAILROAD MEDICARE
142949003MEDICAID (05)TX 
HH1557OTHER (01)TXBLUE CROSS/BLUE SHIELD

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0985682
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 25, 2025
Certificate Expiration Date
April 24, 2027
Laboratory Director
DR. RODNEY STUART
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Northstar Surgical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932104064, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 2 + 0 + 8 + 0 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1932104064.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Anesthesiology
4640 N LOOP 289
LUBBOCK, TX 79416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932104064, enumerated as an "organization" on June 15, 2005.

The provider is located at 4640 N LOOP 289 LUBBOCK, TX 79416 and the phone number is (806) 761-4880.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to verify.