Active NPI
Metrocrest Surgery Center LP
Doing business as Baylor Scott & White Surgicare - Carrollton
- Ambulatory Surgical Clinic/Center
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 7914
- Legal business name
- METROCREST SURGERY CENTER LP
- Doing business as
- Baylor Scott & White Surgicare - Carrollton
Baylor Surgicare at Carrollton - Practice address
- 4780 N Josey LN
Carrollton, TX 75010-4615 - Phone
- (972) 395-0440
- Fax
- (972) 395-0460
- NPI assigned
- Jul 15, 2005
- Last updated
- Jun 16, 2025
- 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
- Donita Fleming
- Title
- Officer/Authorized Official
- Phone
- (202) 815-3665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 7914 | TX | Primary |
Addresses
Primary practice location
4780 N Josey LN
Carrollton, TX 75010-4615
Mailing address
14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (972) 395-0440
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00081899 | Other | TX | RAILROAD MEDICARE |
| 161167501 | Medicaid | TX | |
| HH015A | Other | TX | BCBS |
| 7573453 | Other | TX | AETNA |
Other names 2
- Baylor Scott & White Surgicare - Carrollton
- Baylor Surgicare at Carrollton
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 TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070718000680 | TX | Part B Supplier - Ambulatory Surgical Center | 4789785932 | Practice locations: Carrollton, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Baylor Scott and White Surgicare Carrollton
- 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 |
|---|---|---|---|
| 45D1007967 | Baylor Scott & White Surgicare Carrollton | Certificate of waiver | Jan 6, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- 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
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Carrollton, TX
- NPI 1619991296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1780683490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 DALLAS PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542916",
"telephone_number": "972-395-0440",
"fax_number": "972-395-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104615",
"telephone_number": "972-395-0440",
"fax_number": "972-395-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROCREST SURGERY CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"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": "TX",
"license": "7914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00081899",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161167501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "HH015A",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7573453",
"state": "TX"
}
],
"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 - Carrollton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baylor Surgicare at Carrollton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baylor Surgicare at Carrollton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.