Organization Active NPI

Baylor Surgicare at Baylor Plano, LLC

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
National Provider Identifier
1760912554
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BAYLOR SURGICARE AT BAYLOR PLANO, LLC
Doing business as
Baylor Scott & White Surgicare at Plano Alliance
Practice address
4825 Alliance
Sute 300
Plano, TX 75093
Phone
(469) 367-0700
Fax
(469) 367-0770
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4825 Alliance
Sute 300
Plano, TX 75093

Mailing address

4825 Alliance Blvd Ste 300
Plano, TX 75093-5504
Phone (469) 367-0700

Other names 1

  • Baylor Scott & White Surgicare at Plano Alliance Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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
O20180305001685 TX Part B Supplier - Ambulatory Surgical Center 9931460144 Practice locations: Plano, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Baylor Surgicare at Baylor Plano LLC Dba Baylor Scott and White Surgicare at Plano AllianceCCN 45C0001656
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 4

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

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1760912554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 ALLIANCE BLVD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935504",
            "telephone_number": "469-367-0700",
            "fax_number": "469-367-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 ALLIANCE",
            "address_2": "SUTE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-367-0700",
            "fax_number": "469-367-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SURGICARE AT BAYLOR PLANO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "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": null,
            "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": [
        {
            "organization_name": "Baylor Scott & White Surgicare at Plano Alliance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Surgicare at Plano Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.