NPIMap

Organization Active NPI

Baylor Scott & White Medical Centers - Capitol Area

Doing business as Baylor Scott & White Medical Center - Pflugerville

  • General Acute Care Hospital
  • Pflugerville, TX
National Provider Identifier
1346729159
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA
Doing business as
Baylor Scott & White Medical Center - Pflugerville
Practice address
2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone
(254) 724-2111
NPI assigned
Aug 13, 2018
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mr. Timothy Brandon Gray FullerNPI 1851250757
Title
Ao/Am
Phone
(706) 294-6765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other names 1

  • BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181115000436 TX Part A Provider - Hospital 8820342579 Practice locations: Pflugerville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346729159. Details of each certification follow.

Hospital certification: CCN 670128

Legal name
BAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 15, 2019
Last certification
Sep 5, 2025
Beds
46
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 2, 2016 in TX
Enrollment address
2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660-5999
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Baylor Scott & White Medical Center PflugervilleCCN 670128 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2154084Baylor Scott & White Medical Center- Pflugerville2600 East Pflugerville Parkway Suite 100, Pflugerville, TX 78660AccreditationJan 21, 2028
45D2154085Baylor Scott & White Clinic- Pflugerville2600 E Pflugerville Parkway Building 2, Pflugerville, TX 78660Provider-performed microscopySep 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Baylor Scott White Medical Centers - Capitol Area3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2600 E Pflugerville Pkwy
#2
Pflugerville, TX 78660

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
William Rogers Individual Operational/Managerial ControlTrustee Dec 1, 2018
Justin Meier Individual Operational/Managerial ControlSVP Corporate Finance Feb 9, 2023
Mark L Montgomery Individual Operational/Managerial ControlTrustee Dec 1, 2018
Morris E Foster Individual Operational/Managerial ControlTrustee Dec 1, 2018
Mark W English Individual Operational/Managerial ControlTrustee Jul 1, 2022
Tresa Muir McNeal Individual Operational/Managerial ControlTrustee Dec 1, 2018
Scott & White Healthcare Organization, Temple, TX Non-profit Operational/Managerial Control Aug 1, 2015
Thomas Burdett Individual Operational/Managerial ControlTrustee Dec 1, 2018
Terry Maness Individual Operational/Managerial ControlTrustee Feb 23, 2019
Baylor Scott & White Health Organization, Temple, TX Corporation, Non-profit Operational/Managerial Control Dec 1, 2018
Dominic Lucia Individual Operational/Managerial ControlTrustee Dec 4, 2020
Louis Stanley Casey Individual Operational/Managerial ControlTrustee Dec 1, 2018
William D Digaetano Individual Operational/Managerial ControlTrustee Jul 1, 2019
Muralidhar Jatla Individual Operational/Managerial ControlTrustee Jul 1, 2023
Jim Kruse Individual Operational/Managerial ControlTrustee Dec 1, 2018
Nelda Trevino Individual Operational/Managerial ControlTrustee Dec 4, 2020
Jason Cole Individual Corporate DirectorCfo Dec 1, 2018
W-2 Managing EmployeeCfo Dec 1, 2018
Operational/Managerial ControlCfo Dec 1, 2018
Aval-NA'Ree S Green Individual Operational/Managerial ControlTrustee Jul 1, 2023
Angel Eduardo Caldera Individual Operational/Managerial ControlTrustee Dec 1, 2018
Arundhati Rao Individual Operational/Managerial ControlTrustee Dec 4, 2020
Kristen Leslie Manos Individual Corporate DirectorBoard Member Jul 1, 2025
Baylor Scott & White Medical Centers - Capitol Area Organization, Pflugerville, TX Corporation, Non-profit Operational/Managerial Control Dec 1, 2018
Andra Liemandt Individual Operational/Managerial ControlTrustee Jul 1, 2023
Megan Kiella Individual Corporate DirectorBoard Member Jul 1, 2025
Jay Fox Individual Corporate DirectorCeo Dec 1, 2018
W-2 Managing EmployeeCeo Dec 1, 2018
Operational/Managerial ControlCeo Dec 1, 2018

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Baylor Scott & White Medical Center - BudaBuda, TX, CCN 670131 Hospital Operational/Managerial Control Sep 28, 2019
Baylor Scott & White Medical Center - AustinAustin, TX, CCN 670136 Hospital Operational/Managerial Control Jan 15, 2020

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 356

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

View all 356

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1346729159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E PFLUGERVILLE PKWY",
            "address_2": "STE 100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTERS - CAPITOL AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BRANDON GRAY",
        "authorized_official_title_or_position": "AO/AM",
        "authorized_official_telephone_number": "706-294-6765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.