TURTLE CREEK SURGERY CENTER LLC – Ambulatory Surgical Clinic/Center, NPI 1699819979

TURTLE CREEK SURGERY CENTER LLC is a healthcare provider. based in Tyler, Texas. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 008054 (TX). The NPI Number for TURTLE CREEK SURGERY CENTER LLC is 1699819979

Main info

Organization
Name
TURTLE CREEK SURGERY CENTER LLC
NPI
1699819979
Phone
(903) 592-1664
Address
801 TURTLE CREEK DR
Authorized Official
DR. MAKOTO SAIGUSA OWNER DMD, MD
Enumeration Date
19 February 2007
Last Update Date
3 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for TURTLE CREEK SURGERY CENTER LLC

  • 801 TURTLE CREEK DR

    TYLER, TX 757011937

    Phone: (903) 592-1664

    Fax: (903) 592-6595

    Type: Mailing

  • 805 TURTLE CREEK DR

    TYLER, TX 757011937

    Phone: (903) 592-1664

    Fax: (903) 592-6595

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

1

Earliest due date

2023-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040908001047OAmbulatory Surgical CenterTX2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75701)

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Reviews

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Frequently asked questions

Can I use this page to confirm TURTLE CREEK SURGERY CENTER LLC's NPI?
Yes. TURTLE CREEK SURGERY CENTER LLC is listed with NPI 1699819979 in the public NPI dataset.
Can I rely on TURTLE CREEK SURGERY CENTER LLC being an active provider?
As of the registry snapshot, TURTLE CREEK SURGERY CENTER LLC is marked active.
What is TURTLE CREEK SURGERY CENTER LLC's primary classification?
Ambulatory Surgical Clinic/Center is the headline specialty for TURTLE CREEK SURGERY CENTER LLC here. Clinical services aligned with this taxonomy classification.
What address line appears for TURTLE CREEK SURGERY CENTER LLC?
TURTLE CREEK SURGERY CENTER LLC's geographic hint is Tyler, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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TURTLE CREEK SURGERY CENTER

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801, Turtle Creek Drive, Tyler, Smith County, Texas, 75701, United States
NPI: 1902090822