Organization Active NPI

North Texas Surgical Specialists PLLC

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1831625292
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P9933 Issued in TX
Legal business name
NORTH TEXAS SURGICAL SPECIALISTS PLLC
Practice address
800 8TH Ave
Ste: 616
Fort Worth, TX 76104-2601
Phone
(847) 477-7233
NPI assigned
May 4, 2017
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Dr. Jay Patel, D.O.NPI 1881037869
Title
Manager PLLC
Phone
(682) 224-3748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P9933 TX Primary

Addresses

Primary practice location

800 8TH Ave
Ste: 616
Fort Worth, TX 76104-2601

Mailing address

800 8TH Ave.
Suite 306
Fort Worth, TX 76104
Phone (682) 224-3748

Other practice location 1

601 Omega Dr Ste 203
Arlington, TX 76014-2075
Phone (682) 224-3748

Other practice location 2

22999 Highway 59 N Ste B220
Kingwood, TX 77339-4460
Phone (281) 516-8184

Other practice location 3

3025 N Tarrant Pkwy Ste 100
Fort Worth, TX 76177-8625
Phone (682) 224-3748

Other practice location 4

9 Medical Pkwy Ste 102
Dallas, TX 75234-7852
Phone (469) 825-4855

Other practice location 5

1866 Keller Pkwy
Keller, TX 76248-3764
Phone (682) 224-3748

Other practice location 6

920 Santa Fe Dr
Weatherford, TX 76086-5864
Phone (682) 224-3748

Other practice location 7

6901 Davis Blvd Ste 100
North Richland Hills, TX 76182-4001
Phone (682) 224-3748

Other practice location 8

117 Jane Ln
Hillsboro, TX 76645-2673
Phone (469) 284-8990

Other practice location 9

6161 N Highway 161 Ste 324
Irving, TX 75038-2220
Phone (469) 284-8990

Other practice location 10

6750 N MacArthur Blvd Ste 257
Irving, TX 75039-2875
Phone (469) 284-8990

Other practice location 11

2203 W Lampasas St Ste 218
Ennis, TX 75119-5668
Phone (972) 875-8442

Other practice location 12

2302 Lone Star Rd Ste 160
Mansfield, TX 76063-8750
Phone (682) 224-3748

Other practice location 13

514 S Bonham St Ste B
Mexia, TX 76667-3664
Phone (972) 875-8442

Other practice location 14

5680 Frisco Square Blvd Ste 2500
Frisco, TX 75034-3315
Phone (469) 284-8990

Other practice location 15

1909 Central Dr Ste 202
Bedford, TX 76021-5846
Phone (817) 571-4620

Other identifiers 2

IdentifierTypeStateIssuer
3Y6452101MedicaidTX
383433YSE6OtherTXTPAN OR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171103000133 TX Part B Supplier - Clinic/Group Practice 8921364100 Receives reassigned benefits from 36 practitioners
Practice locations: Fort Worth, TX; Frisco, TX; Hillsboro, TX; Houston, TX; Irving, TX; Denton, TX; Keller, TX; Kingswood, TX…

National Provider Directory

National Provider Directory

Locations

515 W Mayfield Rd
Ste 409
Arlington, TX 76014

500 Medical Center Blvd
Ste 235
Conroe, TX 77304
Phone (281) 203-0864

609 Medical Center Dr
Ste 2450
Decatur, TX 76234
Phone (940) 626-8630

5680 Frisco Square Blvd
Ste 2500
Frisco, TX 75034
Phone (469) 284-8990

6100 Harris Pkwy
Ste 370
Ft Worth, TX 76132
Phone (817) 346-5540

1866 Keller Pkwy
Keller, TX 76248

22999 Highway 59 N
Ste B220
Kingwood, TX 77339
Phone (281) 516-8184

1105 Santa Fe Dr
Ste 106
Weatherford, TX 76086
Phone (817) 923-8050

710 E Anderson St
Ste C
Weatherford, TX 76086
Phone (817) 596-7717

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDABBD

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1831625292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE.",
            "address_2": "SUITE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "682-224-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "STE: 616",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "847-477-7233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Omega Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142075",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22999 Highway 59 N Ste B220",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773394460",
            "country_code": "US",
            "telephone_number": "281-516-8184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 N Tarrant Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778625",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Medical Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752347852",
            "country_code": "US",
            "telephone_number": "469-825-4855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1866 Keller Pkwy",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483764",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865864",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 Davis Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761824001",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Jane Ln",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "TX",
            "postal_code": "766452673",
            "country_code": "US",
            "telephone_number": "469-284-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 N Highway 161 Ste 324",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382220",
            "country_code": "US",
            "telephone_number": "469-284-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 N MacArthur Blvd Ste 257",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392875",
            "country_code": "US",
            "telephone_number": "469-284-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 W Lampasas St Ste 218",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751195668",
            "country_code": "US",
            "telephone_number": "972-875-8442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2302 Lone Star Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638750",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 S Bonham St Ste B",
            "address_purpose": "LOCATION",
            "city": "Mexia",
            "state": "TX",
            "postal_code": "766673664",
            "country_code": "US",
            "telephone_number": "972-875-8442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Frisco Square Blvd Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343315",
            "country_code": "US",
            "telephone_number": "469-284-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Central Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760215846",
            "country_code": "US",
            "telephone_number": "817-571-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS SURGICAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGER PLLC",
        "authorized_official_telephone_number": "682-224-3748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P9933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3Y6452101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPAN OR MEDICARE",
            "identifier": "383433YSE6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.