Organization Active NPI

Fort Worth Surgicare Partners, LTD.

Doing business as Baylor Scott & White Surgical Hospital - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
National Provider Identifier
1871599183
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
008045 Issued in TX
Legal business name
FORT WORTH SURGICARE PARTNERS, LTD.
Doing business as
Baylor Scott & White Surgical Hospital - Fort Worth
Practice address
1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone
(682) 703-5600
Fax
(682) 703-5769
NPI assigned
Jun 22, 2005
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 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
General Acute Care Hospital 282N00000X 008045 TX Primary

Addresses

Primary practice location

1800 Park Place Ave
Fort Worth, TX 76110-1302

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (972) 763-3859

Other identifiers 1

IdentifierTypeStateIssuer
1673642MedicaidTX

Other names 1

  • Baylor Scott & White Surgical Hospital - Fort Worth Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address BSFW_INBOX@DIRECT.USPI.COM Direct
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
O20031223000481 TX Part A Provider - Hospital 5395643662 1 other NPI on this enrollment
Practice locations: Fort Worth, TX; Ft Worth, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871599183. Details of each certification follow.

Hospital certification: CCN 450880

Legal name
FORT WORTH SURGICARE PARTNERS, LTD.
Doing business as
BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - FORT WORTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 29, 2004
Last certification
Feb 20, 2019
Beds
34
Ownership / control type
Physician ownership
Organization structure
PartnershipProprietary
Incorporated
Sep 23, 1996 in TX
Enrollment address
1800 Park Place Ave
Fort Worth, TX 76110-1302
Other Hospital Practice Location
Hospital subgroups
General, Specialty hospital

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baylor Scott and White Surgical Hospital FortworthCCN 450880 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
45D0958441Baylor Scott & White Surgical Hospital1800 Park Place Ave, Fort Worth, TX 76110AccreditationApr 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medical Centre Surgicar2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

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

Interoperability endpoints

  • Direct secure messaging: bsfw_inbox@direct.uspi.com

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
United Surgical Partners International Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2004
Donita a Fleming Individual Corporate OfficerMarket President Jun 1, 2022
Corporate DirectorMarket President Jun 1, 2022
Tenet Healthcare Corporation Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Usp Domestic Holdings Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2004
United Surgical Partners Holdings Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2006
Steven M Schaefer Individual Corporate OfficerRegion Vice President Dec 22, 2025
W-2 Managing EmployeeAd; Dec 22, 2025
Usp North Texas Inc Organization, Addison, TX Corporation 5% Or Greater Direct Ownership Interest Sep 8, 2009
5% Or Greater Indirect Ownership Interest Sep 8, 2009
THVG Ft. Worth GP, LLC Organization, Addison, TX LLC 5% Or Greater Direct Ownership Interest Jul 1, 2006
Susan Callaway Individual Corporate OfficerInterim Cfo Mar 5, 2024
W-2 Managing EmployeeInterim Cfo Mar 5, 2024
Uspi Holding Company Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Texas Health Ventures Group LLC Organization, Addison, TX LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2006
Operational/Managerial Control Jul 1, 2006
Uspi Group Holdings Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Apr 19, 2007
Uspi Holdings Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Apr 19, 2007
HCN Surgery Center Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Baylor University Medical Center Organization, Dallas, TX Corporation Other Sep 1, 2018 1.26%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 91

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 91

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.

Affiliated clinicians 185

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 185

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1871599183",
    "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": "972-763-3859",
            "fax_number": "682-703-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PARK PLACE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101302",
            "telephone_number": "682-703-5600",
            "fax_number": "682-703-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH SURGICARE PARTNERS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1673642",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BSFW_INBOX@DIRECT.USPI.COM",
            "affiliation": "N",
            "endpointDescription": "DIRECT EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1800 Park Place Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761101302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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 Surgical Hospital - Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.