NPIMap

Organization Active NPI

Children's Health System of Texas

Doing business as Children's Medical Center of Dallas

  • Children's Hospital
  • Dallas, TX
National Provider Identifier
1194743013
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
000143 Issued in TX
Legal business name
CHILDREN'S HEALTH SYSTEM OF TEXAS
Doing business as
Children's Medical Center of Dallas
Practice address
1935 Medical District Dr
Dallas, TX 75235-7701
Phone
(214) 456-1900
NPI assigned
Jul 18, 2006
Last updated
Jan 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Mr. Robert S Fries
Title
Chief Financial Officer
Phone
(214) 456-7000

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Home Health Agency 251E00000X
Ambulatory Surgical Clinic/Center 261QA1903X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Children's Hospital 282NC2000X 000143 TX Primary
Ambulance 341600000X
Air Ambulance 3416A0800X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Mailing address

1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-7000

Other identifiers 2

IdentifierTypeStateIssuer
453302OtherTXMEDICARE
138910807MedicaidTX

Other names 1

  • Children's Medical Center of Dallas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20081105000334 TX Part A Provider - Hospital 5799844759 Practice locations: Richardson, TX; Waxahachie, TX; Rockwall, TX; Plano, TX; Grapevine, TX; Dallas, TX; Allen, TX
O20090428000474 TX Part B Supplier - Clinic/Group Practice 5799844759 Receives reassigned benefits from 130 practitioners
Practice locations: Dallas, TX; Plano, TX; Grapevine, TX; Richardson, TX; Rockwall, TX; Waxahachie, TX; Allen, TX
O20120227000585 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 5799844759 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX
O20160621002553 TX Part B Supplier - Ambulance Service Supplier 5799844759 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194743013. Details of each certification follow.

Hospital certification: CCN 453302

Legal name
CHILDREN'S HEALTH SYSTEM OF TEXAS
Doing business as
CHILDRENS MEDICAL CENTER OF DALLAS
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1984
Last certification
Aug 23, 2025
Beds
488
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 6, 1947 in TX
Enrollment address
1935 Medical District Drive
Dallas, TX 75235-7701
Opt Extension Site
Hospital subgroups
General, Acute care, Children’s

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Childrens Medical Center Dialysis UnitCCN 452344
Ownership
Non-profit
Certified
Jun 27, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
19

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Childrens Medical Ctr of DallasCCN 453302 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

2350 N Stemmons Fwy
Ste F4300
Dallas, TX 75207
Phone (214) 456-2444

2620 N Stemmons Fwy
Ste 210
Dallas, TX 75207
Phone (214) 456-2793

3302 Gaston Ave
Rm 203A
Dallas, TX 75246
Phone (214) 828-8133

6300 Harry Hines Blvd
Ste 900
Dallas, TX 75235
Phone (214) 456-4200

7000 W Plano Pkwy
Ste 210
Plano, TX 75093
Phone (469) 213-0282

7609 Preston Rd
Ste 4600
Plano, TX 75024
Phone (469) 303-4300

2455 Ridge Rd
Ste 255
Rockwall, TX 75087
Phone (469) 698-7719

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Robert Scott Fries Individual Corporate OfficerChief Financial Officer Nov 22, 2021
Children's Health System of Texas Organization, Dallas, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Operational/Managerial Control Jan 1, 2023 100%
Christopher Durovich Individual Corporate OfficerPresident and Ceo Feb 16, 2023
Operational/Managerial Control Feb 16, 2023

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Children's Medical Center PlanoPlano, TX, CCN 453316 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 424

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.

View all 424

Affiliated clinicians 80

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

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1194743013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "214-456-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "214-456-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH SYSTEM OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-456-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "TX",
            "license": "000143",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "453302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138910807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Medical Center of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.