Organization Active NPI

Desoto Surgicare Partners, LTD

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
National Provider Identifier
1609870336
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000354 Issued in TX
Legal business name
DESOTO SURGICARE PARTNERS, LTD
Doing business as
North Texas Surgery Center
Practice address
7992 W Virginia Dr
Dallas, TX 75237-3764
Phone
(972) 283-2400
Fax
(972) 283-0099
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Donita Fleming
Title
Medicare Authorized Official
Phone
(202) 815-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000354 TX Primary

Addresses

Primary practice location

7992 W Virginia Dr
Dallas, TX 75237-3764

Mailing address

7992 W Virginia Dr
Dallas, TX 75237-3764
Phone (972) 283-2400

Other identifiers 2

IdentifierTypeStateIssuer
Z04512051MedicaidTX
490003162OtherTNRAILROAD MEDICARE

Other names 1

  • North Texas Surgery Center 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
O20091113000213 TX Part B Supplier - Ambulatory Surgical Center 4981742863 Practice locations: Dallas, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Desoto Surgicare Partners LTDCCN 45C0001205
Medicare certification status
ActiveFrom the Provider of Services file

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
45D0922031North Texas Surgery Center7992 W Virginia Drive, Dallas, TX 75237Certificate of waiverJul 7, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1609870336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7992 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373764",
            "telephone_number": "972-283-2400",
            "fax_number": "972-283-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7992 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373764",
            "telephone_number": "972-283-2400",
            "fax_number": "972-283-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO SURGICARE PARTNERS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "DONITA",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "202-815-3665"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z04512051",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490003162",
            "state": "TN"
        }
    ],
    "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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Texas Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.