Congenital Heart Surgery Center PLLC
Organization Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Dallas, TX
NPI 1386700565 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1386700565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 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
- Organization subpart
- No
Authorized official
- Name
- Nicholas Wadlington
- Title
- Group Vice President
- Phone
- (615) 372-7332
Practitioners 77
-
Francesca Byrne, M.D.
-
Jane Malon Kao, M.D.
-
Lee Ann Pearse, M.D.
-
Justin Wade Sims, PA-C
-
Lavonne Michelle Berner, APRN CPNP-PC
-
Luke A. Bruns, M.D.
-
Casey Cox, PNP-AC
-
Lorraine James, MD
-
Tristena Melton, RN, CPNP
-
Raghav Alampalli Murthy, MBBS
-
Ashish Omprakash Sureka, M.D.
-
Benjamin Acheampong, MBCHB
-
Wubishet Lakew Belay, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070430000231 | TX | Part B Supplier - Clinic/Group Practice | 0648376137 | Receives reassigned benefits from 30 practitioners |
| O20241204000047 | OK | Part B Supplier - Clinic/Group Practice | 0648376137 |
Receives reassigned benefits from 3 practitioners Practice locations: Durant, OK; Idabel, OK |
National Provider Directory
Locations
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
1105 Central Expy N
Ste 140
Allen, TX 75013
3201 Matlock Rd
Ste 410
Arlington, TX 76015
Phone (817) 502-4600
515 W Mayfield Rd
Ste 202
Arlington, TX 76014
3001 FM 2181
Corinth, TX 76210
301 Hospital Dr
Bldg A
Corsicana, TX 75110
7777 Forest Ln
Ste D1110
Dallas, TX 75230
Phone (214) 824-3200
7777 Forest Ln
Ste C339
Dallas, TX 75230
Phone (469) 608-4980
7777 Forest Ln
Ste D1130
Dallas, TX 75230
Phone (214) 824-2563
8210 Walnut Hill Ln
Ste 208
Dallas, TX 75231
2817 S Mayhill Rd
Ste 115
Denton, TX 76208
Phone (972) 634-2931
2817 S Mayhill Rd
Denton, TX 76208
Phone (214) 578-0039
2560 Central Park Ave
Ste 195
Flower Mound, TX 75028
Phone (972) 420-1475
4335 Windsor Centre Trl
Ste 130
Flower Mound, TX 75028
Phone (972) 355-7900
5575 Frisco Square Blvd
Frisco, TX 75034
Phone (972) 234-0200
2200 Village Pkwy
Highland Village, TX 75077
Phone (972) 317-6000
2540 N Galloway Ave
Ste 206
Mesquite, TX 75150
7601 Preston Rd
#C
Plano, TX 75024
1005 W Ralph Hall Pkwy
Ste 125
Rockwall, TX 75032
Phone (972) 475-1277
5002 Cowhorn Creek Rd
Fl 3
Texarkana, TX 75503
Phone (903) 614-3409
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | Yes |
Addresses
Primary practice location
7777 Forest LN
B-115
Dallas, TX 75230-2505
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187008101 | Medicaid | TX | |
| 200108370A | Medicaid | OK |
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All providers in Dallas, TX · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.