NPIMap

Organization Active NPI

Columbia Medical Center of Denton Subsidiary, L.P.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Decatur, TX
National Provider Identifier
1003660879
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY, L.P.
Practice address
2150 S FM 51
Decatur, TX 76234-3703
Phone
(940) 626-5100
Fax
(940) 626-1750
NPI assigned
Apr 16, 2024
Organization subpart
Yes
Parent organization
COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY, L.P.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adam Proctor
Title
Cfo
Phone
(940) 384-3206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2150 S FM 51
Decatur, TX 76234-3703

Mailing address

2150 S FM 51
Decatur, TX 76234-3703
Phone (940) 626-5100

Other names 1

  • Medical City Decatur Dialysis Clinic, a Campus of MC Denton Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821002164 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 6305802489 Practice locations: Decatur, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Medical City Decatur Dialysis ClinicCCN 452379
Overall star rating
1.0 of 5
Ownership
Non-profit
Certified
Oct 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
28

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Columbia Denton Reg Med4 organizations share this tax ID, including this one
Part of
Columbia Denton Reg Med

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18Plans: DEVOTED CHOICE MA ONLY 006 TX (PPO) (H6813-006-000, H6813); DEVOTED CHOICE GIVEBACK 001 TX (PPO) (H6813-001-000, H6813)

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1003660879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343703",
            "telephone_number": "940-626-5100",
            "fax_number": "940-626-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343703",
            "telephone_number": "940-626-5100",
            "fax_number": "940-626-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY, L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA MEDICAL CENTER OF DENTON SUBSIDIARY, L.P.",
        "enumeration_date": "2024-04-16",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-384-3206"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Medical City Decatur Dialysis Clinic, a Campus of MC Denton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.