Texas Endoscopy Centers, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

130197 Issued in TX

Legal business name

TEXAS ENDOSCOPY CENTERS, LLC

Doing business as

Texas Endoscopy at Independence Medical Village

Practice address

8080 Independence Pkwy
Ste 160
Plano, TX 75025-4000

Phone

(972) 908-3000

Fax

(972) 908-3030

NPI assigned

Jun 2, 2014

Last updated

Oct 24, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Texas Endoscopy at Independence Medical Village Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Texas Endoscopy Centers, LLC

  dba Texas Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
  • NPI 1023420577

  1052539210

  Same PAC ID

Listed as

Texas Endoscopy Centers LLCCCN 45C0001391

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ability Network2 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.

• Texas Endoscopy Centers, LLC

  dba Texas Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
  • NPI 1023420577
  NPD tax ID

Member of 2

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

• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

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.

• Osvaldo Fajardo, M.D.

  • Gastroenterology Physician
  • McKinney, TX
  • NPI 1457337297
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1902218456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY",
            "address_2": "STE 160",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254000",
            "telephone_number": "972-908-3000",
            "fax_number": "972-908-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY",
            "address_2": "STE 160",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254000",
            "telephone_number": "972-908-3000",
            "fax_number": "972-908-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ENDOSCOPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "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": "130197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2.16.840.1.113883.3.667.2",
            "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": "Texas Endoscopy at Independence Medical Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Diagnostic Imaging, P.a.
• Texas Diagnostic Services PLLC
• Texas Elite Health Clinic, LLC
• Texas Em-1 Medical Services, PA
• Texas Endoscopy Centers, LLC (Texas Endoscopy)
• Texas Endoscopy LLC (Texas Endoscopy)
• Texas Eye & Aesthetic Center
• Texas Eye and Aesthetic Center PLLC
• Texas Eye MD, PA
• Texas Eye Surgical Services Management LLC

• Ambulatory Surgical Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.

Verify at the official NPI Registry.