HYDE PARK SURGERY CENTER, LLC
NPI 1962671487
Clinic/Center - Ambulatory Surgical in Austin, TX

Q: What is Hyde Park Surgery Center, LLC's NPI number?

The NPI number for Hyde Park Surgery Center, LLC is 1962671487. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider was formerly known as Hyde Park Surgery Center, LP.

Q: What is Hyde Park Surgery Center, LLC's specialty?

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

Active since February 28, 2008CLIA 45D1080997 · Waiver

4611 GUADALUPE ST., SUITE 100, AUSTIN, TX 78751(512) 420-2303(512) 420-2379 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2024, Jun 3, 2020, Apr 9, 2020 and 1 more (4 updates tracked since 2017).

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About Hyde Park Surgery Center, Llc NPPES

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

HYDE PARK SURGERY CENTER, LLC (NPI 1962671487), doing business as Hyde Park Surgery Center, Lp, is a healthcare organization registered as an ambulatory surgical in Austin, Texas and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Peter Blach, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1962671487

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameHYDE PARK SURGERY CENTER, LLC

Location Address4611 GUADALUPE ST., SUITE 100Austin, TX 78751-2908

Mailing Address4611 Guadalupe Street, Suite 100Austin, TX 78751-2928 · (512) 420-2303 · Fax (512) 420-2379

Phone(512) 420-2303

Fax(512) 420-2379

Organization SubpartNo

Authorized OfficialPeter BlachOfficer/authorized Official · (713) 343-0832

Enumeration DateFebruary 28, 2008

Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1962671487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in TX · 008677

4611 GUADALUPE ST., SUITE 100, Austin, TX 78751

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Other Names 1

Former Legal Business NameHyde Park Surgery Center, Lp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyde Park Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 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.

StateEnrollment IDDue date

StateTexasEnrollment IDO20090203000418Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 45D1080997

Hyde Park Surgery Center,llc Dba Hyde Park Surgery Center · Austin, TX

Active · expires Mar 6, 2028

CLIA Number45D1080997

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorLouis E. Seade

Laboratory Phone(512) 637-0672

Laboratory LocationHyde Park Surgery Center,llc Dba Hyde Park Surgery CenterHyde Park Surgery 4611 Guadalupe Street # 100, Austin, TX 78751

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

80 services59 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

65 services48 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

46 services46 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

38 services38 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

32 services26 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

21 services13 patients

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 Hyde Park Surgery Center, LLC's NPI number?

The NPI number for Hyde Park Surgery Center, LLC is 1962671487. It was assigned to this organization in the NPPES registry on February 28, 2008. The provider was formerly known as Hyde Park Surgery Center, LP.

Where is Hyde Park Surgery Center, LLC located?

Hyde Park Surgery Center, LLC is located at 4611 Guadalupe St., Suite 100, Austin, TX 78751. The listed phone number is (512) 420-2303.

What is Hyde Park Surgery Center, LLC's specialty?

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

Is Hyde Park Surgery Center, LLC enrolled in Medicare?

Yes. Hyde Park Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Hyde Park Surgery Center, LLC'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, Ambulatory Surgical Center) is due for revalidation by December 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.

Does Hyde Park Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1080997) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hyde Park Surgery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health, Imperial Insurance Companies, Inc. and Oscar Health and 7 other insurers list Hyde Park 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 Hyde Park Surgery Center, LLC was last updated on October 9, 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.