Active NPI
Baptist Plaza Surgicare LP
Doing business as Saint Thomas Surgery Center - Midtown
- Ambulatory Surgical Clinic/Center
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 157
- Legal business name
- BAPTIST PLAZA SURGICARE LP
- Doing business as
- Saint Thomas Surgery Center - Midtown
- Practice address
- 2004 Hayes Street
Suite 450
Nashville, TN 37203 - Phone
- (615) 515-4000
- Fax
- (615) 515-4053
- NPI assigned
- Aug 3, 2006
- Last updated
- Nov 8, 2024
- 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
- Kristen O'Connor
- Title
- Officer/Authorized Official
- Phone
- (615) 376-7315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 157 | TN | Primary |
Addresses
Primary practice location
2004 Hayes Street
Suite 450
Nashville, TN 37203
Mailing address
2004 Hayes Street
Suite 450
Nashville, TN 37203
Phone (615) 515-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4071479 | Other | TN | BC/BS |
| 3288827 | Medicaid | TN |
Other names 1
- Saint Thomas Surgery Center - Midtown
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 TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000127 | TN | Part B Supplier - Ambulatory Surgical Center | 6204722093 |
1 other NPI on this enrollment Practice locations: Nashville, TN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Nashville EndoSurgery Center
- Ambulatory Surgical Clinic/Center
- Nashville, TN
- NPI 1780964866
O20040227000127
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Baptist Plaza Surgicare LP
- 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 |
|---|---|---|---|
| 44D1019330 | Baptist Plaza Surgicare LLP | Certificate of waiver | Nov 16, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Nashville EndoSurgery Center
- Ambulatory Surgical Clinic/Center
- Nashville, TN
- NPI 1780964866
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Ascension Rx 1205
- Community/Retail Pharmacy
- McMinnville, TN
- NPI 1528634458
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1518967231
Member Of
-
dba Baptist Health System
- Psychiatric Hospital Unit
- San Antonio, TX
- NPI 1487633509
Member Of
Locations
2004 Hayes St
Ste 450
Nashville, TN 37203
Phone (615) 515-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1649287269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 HAYES STREET",
"address_2": "SUITE 450",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37203",
"telephone_number": "615-515-4000",
"fax_number": "615-515-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 HAYES STREET",
"address_2": "SUITE 450",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37203",
"telephone_number": "615-515-4000",
"fax_number": "615-515-4053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST PLAZA SURGICARE LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "O'CONNOR",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-376-7315"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "4071479",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3288827",
"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",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Saint Thomas Surgery Center - Midtown",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Saint Thomas Surgery Center - Midtown",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nashville, TN
- Jonathan Bao
- Shichun Bao, MD
- Baptist Healthcare Group
- Baptist Healthcare GRP (St Thomas)
- Baptist Hospital Systems Inc (Baptist Womens Treatment Center - Nashville)
- Baptist Plaza Surgicare, LP (Nashville EndoSurgery Center)
- Baptist Surgery Center LP (Baptist Ambulatory Surgery Center)
- Baptist Women's Health Center LLC (Saint Thomas Hospital for Specialty Surgery)
- Milad Baradaran Ghahfarokhi
- Behin Inglis Barahimi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.