Individual provider Active NPI

Laurie Susan Novosad, MD

  • Colon & Rectal Surgery Physician
  • McKinney, TX
National Provider Identifier
1073763181
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
P2746 Issued in TX
Practice address
5236 W University Dr Ste 4300
McKinney, TX 75071-8128
Phone
(214) 884-2332
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X P2746 TX Primary

Addresses

Primary practice location

5236 W University Dr Ste 4300
McKinney, TX 75071-8128

Mailing address

11551 Forest Central Dr Ste 133
Dallas, TX 75243-3915
Phone (214) 343-8565

Other identifiers 1

IdentifierTypeStateIssuer
326520903MedicaidTX

Other names 1

  • Laurie Susan Norcross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000625 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 0042366304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Drexel University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

5236 W University Dr
Suite 4300
McKinney, TX 75071-8128
Phone (214) 884-2332

Hospital & facility affiliations

  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P2746TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Mar 1, 2021 Accepting new patients
Texas Oncology PA CurrentSince Mar 1, 2021 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7777 Forest Ln
Ste A321
Dallas, TX 75230
Phone (972) 661-3575

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1600 W College St
Ste 440
Grapevine, TX 76051
Phone (817) 481-9480

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

5236 W University Dr
Ste 4300
McKinney, TX 75071
Phone (214) 884-2332

4001 W 15th St
Ste 280
Plano, TX 75093
Phone (972) 985-7988

Interoperability endpoints

  • Direct secure messaging: laurie.novosad.1@421.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1073763181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR STE 133",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433915",
            "telephone_number": "214-343-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 W UNIVERSITY DR STE 4300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718128",
            "telephone_number": "214-884-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSAD",
        "first_name": "LAURIE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "P2746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326520903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "NORCROSS",
            "middle_name": "SUSAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.