Active NPI
Star Medical Center, LLC
Doing business as Legent Surgical Hospital Plano
- General Acute Care Hospital
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- STAR MEDICAL CENTER, LLC
- Doing business as
- Legent Surgical Hospital Plano
STAR Medical Center - Practice address
- 4100 Mapleshade Lane
Plano, TX 75093 - Phone
- (972) 265-1050
- Fax
- (972) 265-1252
- NPI assigned
- Aug 12, 2013
- Last updated
- Nov 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Fowler
- Title
- President & Ceo
- Phone
- (817) 421-1066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
4100 Mapleshade Lane
Plano, TX 75093
Mailing address
4100 Mapleshade LN
Plano, TX 75093-0012
Phone (817) 421-1066
Other names 2
- Legent Surgical Hospital Plano
- STAR Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220623002884 | TX | Part A Provider - Hospital | 9830578756 | Practice locations: Plano, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1184057309. Details of each certification follow.
Hospital certification: CCN 670322
- Legal name
- STAR MEDICAL CENTER LLC
- Doing business as
- LEGENT SURGICAL HOSPITAL PLANO
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 8, 2023
- Last certification
- Jun 8, 2023
- Beds
- 7
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Enrollment address
- 4100 Mapleshade LN
Plano, TX 75093-0012 - Hospital subgroups
- General
Care Compare: Hospital
Medicare Care Compare- Listed as
- Legent Surgical Hospital Plano
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Star Medical Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba P5 Performance Plano PT
- Physical Therapy Clinic/Center
- Plano, TX
- NPI 1669196960
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hospital for Special Surgery
- General Acute Care Hospital
- New York, NY
- NPI 1598703019
Member Of
Ownership & related parties
All disclosed owners & managing parties 27
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher Dunleavy | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Prism One Buyer, LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Justin Robert Oppenheimer | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| General Atlantic Oo Collections LP | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | 71.8% |
| Jordan C Fowler | Corporate Officer | Oct 1, 2018 | |
| PSN Group LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Prism One Intermediate Co II LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| MJ Fowler 678 Trust | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | 11.54% |
| General Atlantic Partners Aiv-1 B, LP | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | 38.48% |
| PSN Invesco LLC | 5% Or Greater Indirect Ownership Interest | Mar 29, 2022 | |
| Ga Aiv-1B LP Interholdco LP | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Prism One Intermediate Co I LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Bryan T Kelly | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| General Atlantic Aiv Oo Blocker LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | 38.48% |
| Prism One LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Keerah Allen | W-2 Managing Employee | Mar 17, 2026 | |
| New York Society for the Relief of Ruptured & Crippled Maintaining | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Irene Koch | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| General Atlantic Partners Aiv-1 a, LP | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | 23.33% |
| Prism One Management Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Jessica Fulford | W-2 Managing Employee | Oct 1, 2018 | |
| Mark K Bowen | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| General Atlantic Partners Aiv Oo LP | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | 66.62% |
| HSS Oo Holdco, Inc | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Brittani a Schmitz | W-2 Managing Employee | Oct 1, 2018 | |
| Operational/Managerial Control | Oct 1, 2018 | ||
| Ga Aiv-1 B Interholdco Oo LP | 5% Or Greater Indirect Ownership Interest | Oct 10, 2025 | |
| Star Medical Center LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2018 | 72% |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Chicago, IL
- NPI 1568419463
5% Or Greater Indirect Ownership Interest
-
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
- NPI 1457386211
5% Or Greater Indirect Ownership Interest
-
dba HSS Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- New York, NY
- NPI 1346835675
5% Or Greater Indirect Ownership Interest
-
dba Hospital for Special Surgery
- General Acute Care Hospital
- New York, NY
- NPI 1598703019
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Legent Orthopedic & Spine
- General Acute Care Hospital
- San Antonio, TX
- NPI 1568848059
MJ Fowler 678 Trust, PSN Group LLC
-
dba Legent Orthopedic Hospital
- General Acute Care Hospital
- Carrollton, TX
- NPI 1316505043
Ga Aiv-1 B Interholdco Oo LP, Ga Aiv-1B LP Interholdco LP, General Atlantic Aiv Oo Blocker LLC, General Atlantic Oo Collections LP, General Atlantic Partners Aiv Oo LP, General Atlantic Partners Aiv-1 a, LP, General Atlantic Partners Aiv-1 B, LP, H
-
dba Legent North Houston Surgical Hospital
- General Acute Care Hospital
- Tomball, TX
- NPI 1053073726
Ga Aiv-1 B Interholdco Oo LP, Ga Aiv-1B LP Interholdco LP, General Atlantic Aiv Oo Blocker LLC, General Atlantic Oo Collections LP, General Atlantic Partners Aiv Oo LP, General Atlantic Partners Aiv-1 a, LP, General Atlantic Partners Aiv-1 B, LP, P
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba P5 Performance Plano PT
- Physical Therapy Clinic/Center
- Plano, TX
- NPI 1669196960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1104883693
Affiliated clinicians 50
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1902145782
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Frisco, TX
- NPI 1871791590
Hospital
-
- Otolaryngology/Facial Plastic Surgery Physician
- Dallas, TX
- NPI 1144518473
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1184057309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MAPLESHADE LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750930012",
"telephone_number": "817-421-1066",
"fax_number": "817-507-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 MAPLESHADE LANE",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "972-265-1050",
"fax_number": "972-265-1252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-12",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "FOWLER",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "817-421-1066"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legent Surgical Hospital Plano",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "STAR Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "STAR Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.