NPIMap

Organization Active NPI

Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Flower Mound, TX
National Provider Identifier
1760772669
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC
Practice address
4951 Long Prairie Rd Ste 100
Flower Mound, TX 75028
Phone
(972) 899-4679
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leonard Ratley
Title
Exec VP
Phone
(972) 395-2220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4951 Long Prairie Rd Ste 100
Flower Mound, TX 75028

Mailing address

4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 492-1334

Other practice location 1

4951 Long Prairie Rd
Suite 100
Flower Mound, TX 75028
Phone (972) 899-4679

Other identifiers 3

IdentifierTypeStateIssuer
TXB117492OtherTXMEDICARE PART B GROUP PTAN
DR2337OtherTXRAILROAD MEDICARE
0052WCOtherTXBC/BS TX GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110217000911 TX Part B Supplier - Clinic/Group Practice 3375724792 Receives reassigned benefits from 41 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Frisco, TX; Plano, TX; Denton, TX; Carrollton, TX

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1760772669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-899-4679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Long Prairie Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "75028",
            "country_code": "US",
            "telephone_number": "972-899-4679",
            "fax_number": "972-410-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOTEXAS PHYSICIANS AND SURGEONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "RATLEY",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "EXEC VP",
        "authorized_official_telephone_number": "972-395-2220"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GROUP PTAN",
            "identifier": "TXB117492",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR2337",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX GROUP",
            "identifier": "0052WC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.