Organization Active NPI

Center for Pediatric Surgery LTD

Doing business as Cook Childrens Pediatric Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Prosper, TX
National Provider Identifier
1801847728
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTER FOR PEDIATRIC SURGERY LTD
Doing business as
Cook Childrens Pediatric Surgery Center
Practice address
4200 W University Dr Ste 110
Prosper, TX 75078-9805
Phone
(972) 300-0215
Fax
(972) 300-0231
NPI assigned
May 15, 2006
Organization subpart
Yes
Parent organization
COOK CHILDREN'S MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Gayle Marie Caillier
Title
Administrator
Phone
(972) 300-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4200 W University Dr Ste 110
Prosper, TX 75078-9805

Mailing address

PO Box 731115
Dallas, TX 75373-1115
Phone (972) 300-0237

Other names 1

  • COOK CHILDRENS PEDIATRIC SURGERY CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cookchildrens@CookChildrens.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000109 TX Part B Supplier - Ambulatory Surgical Center 0749205664 Practice locations: Prosper, TX

Ambulatory surgical center certification: CCN 45C0001398

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Cook Childrens Pediatric Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 28, 2005
Last certification
Apr 25, 2017
Ownership / control type
Proprietary
Facility address
4200 W University Drive Suite 110
Prosper, TX 75078

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
45D1036103Center for Pediatric Surgery4200 W University Drive Suite 110, Prosper, TX 75078Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory
Part of
Cook Fort Worth Childre

Member of 1

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1801847728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731115",
            "telephone_number": "972-300-0237",
            "fax_number": "972-300-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W UNIVERSITY DR STE 110",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789805",
            "telephone_number": "972-300-0215",
            "fax_number": "972-300-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEDIATRIC SURGERY LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOK CHILDREN'S MEDICAL CENTER",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "CAILLIER",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-300-0250"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cookchildrens@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "4200 W University Dr Ste 110",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750789805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "COOK CHILDRENS PEDIATRIC SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COOK CHILDRENS PEDIATRIC SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.