Organization Active NPI

Trophy Club Medical Center LP

  • General Acute Care Hospital
  • Trophy Club, TX
National Provider Identifier
1982609558
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
008051 Issued in TX
Legal business name
TROPHY CLUB MEDICAL CENTER LP
Practice address
2850 E State Highway 114
Trophy Club, TX 76262
Phone
(817) 837-4600
Fax
(817) 837-4610
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 008051 TX Primary

Addresses

Primary practice location

2850 E State Highway 114
Trophy Club, TX 76262

Mailing address

2850 E State Highway 114
Trophy Club, TX 76262-5302
Phone (817) 837-4600

Other names 1

  • Baylor Scott & White Medical Center - Trophy Club Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TCMC_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
O20040311000060 TX Part A Provider - Hospital 6608765565 Practice locations: Trophy Club, TX

Hospital certification: CCN 450883

Legal name
TROPHY CLUB MEDICAL CENTER, L.P
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER - TROPHY CLUB
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 8, 2004
Last certification
Apr 30, 2024
Beds
20
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Incorporated
May 13, 2002 in TX
Enrollment address
2850 E Highway 114
Trophy Club, TX 76262-5302
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
Baylor Medical Center at Trophy ClubCCN 450883
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 2

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

Interoperability endpoints

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

Ownership & related parties

All disclosed owners & managing parties 17

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, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 30, 2004
Donita a Fleming Individual Corporate OfficerMarket President Dec 1, 2022
Corporate Director Dec 1, 2022
Tenet Healthcare Corporation Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
VHS San Antonio Partners LLC Organization, Dallas, TX LLC Other Jun 16, 2015
Usp Domestic Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2004
United Surgical Partners Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 30, 2004
Usp North Texas Inc Organization, Dallas, TX Corporation 5% Or Greater Direct Ownership Interest Sep 8, 2009 8.48%
5% Or Greater Indirect Ownership Interest Jul 1, 2006
Melissa R Loving Individual Corporate OfficerChief Financial Officer Jul 1, 2023
Corporate Director Jul 1, 2023
W-2 Managing Employee Jul 1, 2023
Brandon K Bays Individual Corporate OfficerCeo / Administrator May 20, 2024
W-2 Managing EmployeeAd; May 20, 2024
Uspi Holding Company Inc Organization, Dallas, TX Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jun 16, 2016
Texas Health Ventures Group LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Jun 30, 2004
Uspi Group Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Nov 28, 2007
THVG Park Cities Trophy Club GP LLC Organization, Dallas, TX LLC 5% Or Greater Direct Ownership Interest Dec 31, 2009 51.2%
Operational/Managerial Control Jul 1, 2005
Uspi Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Nov 28, 2007
HCN Surgery Center Holdings Inc Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Houston Northwest Partners LTD Organization, Dallas, TX Other Jun 16, 2015
Baylor University Medical Center Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 15, 1998 25.61%

Owners & managing parties with NPI records 6

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

Facilities with the same owner 93

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

View all 93

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 172

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

View all 172

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1982609558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 E STATE HIGHWAY 114",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625302",
            "telephone_number": "817-837-4600",
            "fax_number": "817-837-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 E STATE HIGHWAY 114",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-837-4600",
            "fax_number": "817-837-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROPHY CLUB MEDICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TCMC_INBOX@DIRECT.USPI.COM",
            "affiliation": "N",
            "endpointDescription": "DIRECT ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2850 E State Highway 114",
            "city": "Trophy Club",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76262",
            "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 Medical Center - Trophy Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trophy Club, TX

Sources for this page

Verify at the official NPI Registry.