Organization Active NPI

Bellaire Outpatient Surgery Center, LLP

Doing business as Baylor Scott & White Surgicare - Oakmont

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1275536328
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007890 Issued in TX
Legal business name
BELLAIRE OUTPATIENT SURGERY CENTER, LLP
Doing business as
Baylor Scott & White Surgicare - Oakmont
Practice address
7200 Oakmont Boulevard
Fort Worth, TX 76132-3902
Phone
(817) 732-3300
Fax
(817) 732-0110
NPI assigned
May 23, 2005
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Donita Fleming
Title
Officer/Authorized Official
Phone
(202) 381-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007890 TX Primary

Addresses

Primary practice location

7200 Oakmont Boulevard
Fort Worth, TX 76132-3902

Mailing address

7200 Oakmont Boulevard
Fort Worth, TX 76132-3902
Phone (817) 732-3300

Other identifiers 4

IdentifierTypeStateIssuer
163516101MedicaidTX
HH1393OtherBCBS
P00090576OtherTXRAILROAD MEDICARE
202158900OtherUS DEPT OF LABOR

Other names 1

  • BAYLOR SCOTT & WHITE SURGICARE - OAKMONT Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000244 TX Part B Supplier - Ambulatory Surgical Center 4789788738 Practice locations: Fort Worth, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Baylor Surgicare at OakmontCCN 45C0001196
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5521 Bellaire Dr S
#201
Benbrook, TX 76109
Phone (817) 732-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1275536328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 OAKMONT BOULEVARD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323902",
            "telephone_number": "817-732-3300",
            "fax_number": "817-732-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 OAKMONT BOULEVARD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323902",
            "telephone_number": "817-732-3300",
            "fax_number": "817-732-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE OUTPATIENT SURGERY CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "DONITA",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "202-381-3665"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163516101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1393",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00090576",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "202158900",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BAYLOR SCOTT & WHITE SURGICARE - OAKMONT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.