Congenital Heart Surgery Center PLLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

CONGENITAL HEART SURGERY CENTER PLLC

Practice address

7777 Forest LN
B-115
Dallas, TX 75230-2505

Phone

(972) 566-2525

Fax

(972) 566-2032

NPI assigned

Dec 29, 2006

Last updated

Nov 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Wadlington

Title

Group Vice President

Phone

(615) 372-7332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Enrollment records 2

Locations

Practitioners 76

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.

• Francesca Byrne, M.D.

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1508023425

  OK

  Medicare reassignment Care Compare group NPD
• Vasiliki Vivian Dimas, MD

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1639102148
  Medicare reassignment Care Compare group NPD
• Jane Malon Kao, M.D.

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1497718662

  OK

  Medicare reassignment Care Compare group NPD
• Lee Ann Pearse, M.D.

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1184629347
  Medicare reassignment Care Compare group NPD
• Reenu Sara Eapen Rose

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1881663342
  Medicare reassignment Care Compare group NPD
• Poonam Punjwani Thankavel, M.D.

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1467650911
  Medicare reassignment Care Compare group NPD
• Ilana Joy Zeltser, MD

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1295797330
  Medicare reassignment Care Compare group NPD
• Justin Wade Sims, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1154719326
  Medicare reassignment Care Compare group
• Maytham Abed Al-Kubaisi, M.D

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1154617355
  Medicare reassignment NPD
• Lavonne Michelle Berner, APRN CPNP-PC

  • Pediatric Nurse Practitioner
  • Highland Village, TX
  • NPI 1447918784
  Medicare reassignment NPD
• Kristie Young Borgman, MD

  • Pediatric Cardiology Physician
  • San Antonio, TX
  • NPI 1033266846
  Medicare reassignment NPD
• Luke A. Bruns, M.D.

  • Pediatric Cardiology Physician
  • Dallas, TX
  • NPI 1992812226
  Medicare reassignment NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1386700565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "B-115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-2525",
            "fax_number": "972-566-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGENITAL HEART SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-7332"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan Confer
• Confidant Texas PA
• Confident Smile Studio, PLLC (ConfiDent Smile Studio)
• Confirm Laboratory LLC
• Jennifer Congdon, FNP-C
• Holly Conger, MD
• Congo Dental Clinic P.a.
• Carolyn Conklin, NP-C
• Leilani Ivette Conklin
• Travis Conklin, OPA C

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.