Active NPI
Desoto Surgicare Partners, LTD
- Ambulatory Surgical Clinic/Center
- Dallas, TX
National Provider Identifier
1609870336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 000354
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z04512051 | Medicaid | TX | |
| 490003162 | Other | TN | RAILROAD MEDICARE |
Other names 1
- North Texas Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LTD
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0922031 | North Texas Surgery Center | Certificate of waiver | Jul 7, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1467892828
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.