Individual provider Active NPI

Renato Victor Bosita, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
National Provider Identifier
1184663163
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
L3586 Issued in TX
Practice address
6020 W Parker Rd
Suite 200
Plano, TX 75093-8171
Phone
(972) 608-5000
Fax
(972) 608-5020
NPI assigned
Jun 5, 2006
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X L3586 TX Primary

Addresses

Primary practice location

6020 W Parker Rd
Suite 200
Plano, TX 75093-8171

Mailing address

PO Box 262409
Plano, TX 75026-2409
Phone (972) 608-5000

Other identifiers 1

IdentifierTypeStateIssuer
1506107-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100617000808 TX Practitioner - Orthopedic Surgery 4789623158 Reassigns benefits to 1 organization
O20071005000615 TX Part A Provider - Hospital 5597850404 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rockwall, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184663163. Details of each certification follow.

Hospital certification: CCN 670044

Legal name
ROCKWALL REGIONAL HOSPITAL, LLC
Doing business as
TEXAS HEALTH HOSPITAL ROCKWALL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 4, 2008
Last certification
Sep 6, 2019
Beds
61 (33 certified)
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Sep 11, 2007 in TX
Enrollment address
3150 Horizon Rd
Rockwall, TX 75032-7805
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Texas Health Presbyterian Hospital RockwallCCN 670044 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians

Practice addresses (Care Compare)

11990 N Central Expy
Med City Spine Hosp
Dallas, TX 75243-3714
Phone (972) 234-1900

3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1000

3164 Horizon Rd
Suite 100
Rockwall, TX 75032-7805
Phone (972) 772-8767

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4510 Medical Ctr Dr
Suite 301
McKinney, TX 75069-1603
Phone (972) 498-4389

6020 W Parker Rd
Suite 200
Plano, TX 75093-8172
Phone (972) 608-5000

6020 W Parker Rd
TX Health Center for Diagnostics
Plano, TX 75093-8171
Phone (972) 403-2700

8200 Walnut Hill LN
Texas Health Presbyterian Hospital
Dallas, TX 75231-4426
Phone (214) 345-6789

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion68
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Neurosurgeons, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6020 W Parker Rd
Ste 200
Plano, TX 75093
Phone (972) 403-2700

3164 Horizon Rd
#100
Rockwall, TX 75032
Phone (972) 772-8767

Interoperability endpoints

  • Direct secure messaging: 4410-bosita-rey@direct.leadingreach.com

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Texas Health Partners LLC Organization, Arlington, TX LLC Operational/Managerial Control Mar 4, 2008
Jeffrey Wayne Mincher Individual Corporate OfficerSVP Chief Revenue Cycle Jun 20, 2022
Texas Health Resources Organization, Arlington, TX Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2007 61.18%
Fraser Hay Individual Corporate DirectorBoard Member Oct 28, 2025
Sarah S Way Individual Corporate DirectorBoard Member Oct 28, 2025
JP Morgan Chase, N.a. Organization, San Antonio, TX Financial institution 5% Or Greater Security Interest Feb 8, 2008 64%
Rick E McWhorter Individual Corporate DirectorBoard Member Oct 28, 2025
Matthew K McVey Individual W-2 Managing EmployeeEntity Finance Officer Mar 9, 2025
Jason a Linscott Individual Corporate OfficerPresident Jun 16, 2025
W-2 Managing EmployeeCfo/Interim President May 1, 2016
Tami L Hlus-Hawkins Individual Corporate OfficerVP Patient Care Services Jul 24, 2011
W-2 Managing Employee Jul 24, 2011
Amanda Thrash Individual Corporate DirectorBoard Member Oct 28, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 401

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

View all 401

Organizations & group practices 2

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1184663163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262409",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750262409",
            "telephone_number": "972-608-5000",
            "fax_number": "972-608-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938171",
            "telephone_number": "972-608-5000",
            "fax_number": "972-608-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSITA",
        "first_name": "RENATO",
        "middle_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "L3586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506107-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.