Bluebonnet Surgery Pavilion LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BLUEBONNET SURGERY PAVILION LLC

Practice address

1324 Brown St
600
Waxahachie, TX 75165-1421

Phone

(972) 937-4000

Fax

(972) 937-4001

NPI assigned

Feb 27, 2015

Last updated

Jan 2, 2024By 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

Dr. Pritesh Patel, DONPI 1356695688

Title

Owner

Phone

(978) 328-8686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Blue Bonnet Surgery PavilionCCN 45C0001616

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Pritesh Patel

  • Interventional Pain Medicine Physician
  • Dallas, TX
  • NPI 1356695688
  Medicare reassignment NPD Authorized official
• Melinda Beth Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Waxahachie, TX
  • NPI 1336141001
  NPD
• Yuen C Cheng, MD

  • Interventional Pain Medicine Physician
  • Cedar Park, TX
  • NPI 1841545647
  NPD (past)

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1639561640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 BROWN ST",
            "address_2": "600",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651421",
            "telephone_number": "972-937-4000",
            "fax_number": "972-937-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 BROWN ST",
            "address_2": "600",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651421",
            "telephone_number": "972-937-4000",
            "fax_number": "972-937-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET SURGERY PAVILION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-328-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilee Jane Block, LPC, PLLC
• Priscilla Block
• Emily Blocksom
• Blue Star Anesthesia PLLC
• Bluebird Day Counseling PLLC
• Benjamin John Boaz, LPC
• Benjamin D Boone Jr., MD
• Carly Jay Boone, PA-C
• Laura Bouche
• Anastasia E Bourne, ATC, LAT

• Ambulatory Surgical Clinic/Center in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.