Organization Active NPI

Irving-Coppell Surgical Hospital LLP

Doing business as Baylor Scott & White Surgical Hospital - Las Colinas

  • General Acute Care Hospital
  • Irving, TX
National Provider Identifier
1669569984
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
007995 Issued in TX
Legal business name
IRVING-COPPELL SURGICAL HOSPITAL LLP
Doing business as
Baylor Scott & White Surgical Hospital - Las Colinas
Practice address
400 West I-635
Suite 101
Irving, TX 75063-3842
Phone
(972) 868-4000
Fax
(972) 868-4009
NPI assigned
Oct 6, 2006
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 007995 TX Primary

Addresses

Primary practice location

400 West I-635
Suite 101
Irving, TX 75063-3842

Mailing address

400 W Lyndon B Johnson Fwy Ste 101B
Irving, TX 75063-3718
Phone (972) 868-4000

Other identifiers 2

IdentifierTypeStateIssuer
163936102MedicaidTX
163936101MedicaidTX

Other names 1

  • BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address BSHLC_INBOX@Direct.uspi.com
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
O20091112000330 TX Part A Provider - Hospital 6608787940 1 other NPI on this enrollment
Practice locations: Irving, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669569984. Details of each certification follow.

Hospital certification: CCN 450874

Legal name
IRVING-COPPELL SURGICAL HOSPITAL LLP
Doing business as
BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 3, 2003
Last certification
Apr 13, 2010
Beds
20
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Incorporated
Dec 13, 2002 in TX
Enrollment address
400 W Lyndon B Johnson Fwy, Ste 101B
Baylor Scott & White Surgical Hospital - Las Colin
Irving, TX 75063-3718
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baylor Surgical Hospital at Las ColinasCCN 450874 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
45D0956741Baylor Scott& White Pediatrics Las Colinas400 W I 635 Ste 250, Irving, TX 75063Certificate of waiverFeb 3, 2027
45D1015926Irving Coppell Surgical Hospital400 W I-635, Suite 101, Irving, TX 75063AccreditationJun 6, 2028
45D2152799Baylor Scott & White Medical Surgical400 W Lyndon B Johnson Fwy Suite 220, Irving, TX 75063Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

400 W Lyndon B Johnson Fwy
Ste 10
Irving, TX 75063

400 W Lyndon B Johnson Fwy
Ste 101B
Irving, TX 75063
Phone (972) 868-4000

Interoperability endpoints

  • Direct secure messaging: bshlc_inbox@direct.uspi.com

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
United Surgical Partners International Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 16, 2003
Donita a Fleming Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 1, 2023
W-2 Managing Employee Jan 1, 2023
Tenet Healthcare Corporation Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Jessica Hill Individual W-2 Managing EmployeeAd; Mar 10, 2025
VHS San Antonio Partners LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Usp Domestic Holdings Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 16, 2003
Melissa Walker Individual Corporate OfficerCfo Aug 29, 2022
W-2 Managing Employee Aug 29, 2022
United Surgical Partners Holdings Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2003
Usp North Texas Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 16, 2003
THVG Irving-Coppell GP, LLC Organization, Addison, TX LLC 5% Or Greater Direct Ownership Interest Dec 1, 2016 19.24%
Uspi Holding Company Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Texas Health Ventures Group LLC Organization, Addison, TX LLC 5% Or Greater Indirect Ownership Interest Jun 16, 2003
Operational/Managerial Control Jun 16, 2003 100%
Uspi Group Holdings Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 19, 2007
Uspi Holdings Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 19, 2007
HCN Surgery Center Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Houston Northwest Partners LTD Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Baylor Medical Center at Irving Organization, Irving, TX For-profit 5% Or Greater Direct Ownership Interest Jun 16, 2003 33.71%
Baylor University Medical Center Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2018

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 95

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 95

Practitioners & affiliated clinicians

Affiliated clinicians 131

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1669569984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LYNDON B JOHNSON FWY STE 101B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633718",
            "telephone_number": "972-868-4000",
            "fax_number": "972-868-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST I-635",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633842",
            "telephone_number": "972-868-4000",
            "fax_number": "972-868-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING-COPPELL SURGICAL HOSPITAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "007995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163936102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163936101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BSHLC_INBOX@Direct.uspi.com",
            "affiliation": "N",
            "address_1": "400 West I-635",
            "address_2": "Suite 101",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750633842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.