Individual provider Active NPI

Mark Louis Bailey, M.D.

  • Surgery Physician
  • Richardson, TX
National Provider Identifier
1114979796
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H2226 Issued in TX
Practice address
3600 Shire Blvd
Ste 104
Richardson, TX 75082-2236
Phone
(972) 487-6400
Fax
(972) 487-1686
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H2226 TX Primary

Addresses

Primary practice location

3600 Shire Blvd
Ste 104
Richardson, TX 75082-2236

Mailing address

3600 Shire Blvd
Ste 104
Richardson, TX 75082-2236
Phone (972) 487-6400

Other identifiers 1

IdentifierTypeStateIssuer
115376902MedicaidTX

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
I20101209000187 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 1850298274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dallas Surgical Specialists, PAGroup PAC ID 7315998929, 5 clinicians

Practice addresses (Care Compare)

3600 Shire Blvd
Suite 104
Richardson, TX 75082-2236
Phone (972) 487-6400

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Medical City Plano Hospital, Plano, TX, CCN 450651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2226TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Surgical Care LLC Current Accepting new patients
North Dallas Surgical Specialists, PA Surgery CurrentSince Feb 26, 1986 Accepting new patients
Rockwall Ambulatory Surgery Center LLP PastSince Sep 1, 2006 Accepting new patients

Locations

3600 Shire Blvd
Ste 104
Richardson, TX 75082

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 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1114979796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SHIRE BLVD",
            "address_2": "STE 104",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822236",
            "telephone_number": "972-487-6400",
            "fax_number": "972-487-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SHIRE BLVD",
            "address_2": "STE 104",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822236",
            "telephone_number": "972-487-6400",
            "fax_number": "972-487-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H2226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115376902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.