Active NPI
Texas Minimally Invasive Surgery Center, PA
- Surgery Physician
- Duncanville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- N2844
- Legal business name
- TEXAS MINIMALLY INVASIVE SURGERY CENTER, PA
- Practice address
- 1010 E Wheatland Rd
Duncanville, TX 75116-4905 - Phone
- (972) 298-4622
- Fax
- (972) 298-4633
- NPI assigned
- Jun 30, 2009
- 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
- Dr. Anil Kumar Tibrewal, MD
- Title
- President
- Phone
- (972) 298-4622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | N2844 | TX | Primary |
Addresses
Primary practice location
1010 E Wheatland Rd
Duncanville, TX 75116-4905
Mailing address
1010 E Wheatland Rd
Duncanville, TX 75116-4905
Phone (972) 298-4622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080SM | Other | TX | BLUE CROSS & BLUE SHIELD |
| 203725101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3430 W Wheatland Rd
Ste 207
Dallas, TX 75237
Phone (972) 296-8888
2727 Bolton Boone Dr
Ste 108
Desoto, TX 75115
Phone (214) 942-0881
1010 E Wheatland Rd
Duncanville, TX 75116
Phone (972) 296-6912
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Duncanville, TX
- NPI 1043259765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1194953067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E WHEATLAND RD",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164905",
"telephone_number": "972-298-4622",
"fax_number": "972-298-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E WHEATLAND RD",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751164905",
"telephone_number": "972-298-4622",
"fax_number": "972-298-4633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS MINIMALLY INVASIVE SURGERY CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "TIBREWAL",
"authorized_official_first_name": "ANIL",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-298-4622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "N2844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "0080SM",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203725101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
- Terrence Taylor, DNP
- Texas Institute of Sports Medicine and Weight Management
- Texas Institute of Sports Medicine and Weight Management
- Texas Medical Inc
- Texas Mental Health & Behavior LLC
- Texcare Express
- Thamau Transportation, LLC
- The Relationship Clinic of Waco, LLC
- The Root of the Matter
- Thebraider Hair Academy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.