Baylor Surgicare at Blue Star, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAYLOR SURGICARE AT BLUE STAR, LLC

Practice address

3800 Gaylord Parkway
Suite 410
Frisco, TX 75034

Phone

(972) 668-5911

Fax

(972) 692-6445

NPI assigned

Jul 21, 2017

Last updated

May 6, 2026By 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

Donita Fleming

Title

Officer / Authorized Official

Phone

(202) 815-3665

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Baylor Scott and White Sports Surgery Center at the StarCCN 45C0001657

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

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• Frisco Medical Center LLP

  dba Baylor Scott & White Med Cntr - Frisco

  • General Acute Care Hospital
  • Frisco, TX
  • NPI 1922002674

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1649793613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 410",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349419",
            "telephone_number": "972-668-5911",
            "fax_number": "972-692-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PARKWAY",
            "address_2": "SUITE 410",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-668-5911",
            "fax_number": "972-692-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SURGICARE AT BLUE STAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "DONITA",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "202-815-3665"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": []
}

• Baylor Family Medicine at Frisco
• Baylor Scott & White Health Enterprises, Inc.
• Baylor Scott & White Medical Center - Centennial
• Baylor Scott & White Medical Centers - Greater North Texas
• Baylor Scott & White Medical Centers - Greater North Texas (Baylor Scott & White Medical Center - Frisco at PGA Parkway)
• Bria Baymon
• Eyerusalem Engida Bayssa, M.D
• Connor Dawson Baze, PA-C
• Regine Bazil
• Be Heard Therapy

• Ambulatory Surgical Clinic/Center in Frisco, TX
• Providers in Frisco, 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 May 6, 2026; 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.