Active NPI
Center for Pediatric Surgery LTD
Doing business as Cook Childrens Pediatric Surgery Center
- Ambulatory Surgical Clinic/Center
- Prosper, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 45D1036103 | Center for Pediatric Surgery | Certificate of waiver | Jun 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.
-
dba Cook Children's Pharmacy #1
- Community/Retail Pharmacy
- Fort Worth, TX
- NPI 1700127909
Member Of
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.