NPIMap

Organization Active NPI

Baylor Medical Center at Irving

Doing business as Baylor Scott & White Medical Center - Irving

  • General Acute Care Hospital
  • Irving, TX
National Provider Identifier
1992700983
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000300 Issued in TX
Legal business name
BAYLOR MEDICAL CENTER AT IRVING
Doing business as
Baylor Scott & White Medical Center - Irving
Practice address
1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone
(972) 579-8104
Fax
(972) 579-5290
NPI assigned
Jun 16, 2005
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Cindy Schamp
Title
Ceo
Phone
(972) 579-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000300 TX Primary

Addresses

Primary practice location

1901 N Macarthur Blvd
Irving, TX 75061-2220

Mailing address

PO Box 841590
Dallas, TX 75284-1590
Phone (214) 820-6710

Other identifiers 2

IdentifierTypeStateIssuer
56113OtherTXAMERICAID
121776204MedicaidTX

Other names 1

  • BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021022000020 TX Part A Provider - Hospital 9436067097 1 other NPI on this enrollment
Practice locations: Irving, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992700983. Details of each certification follow.

Hospital certification: CCN 450079

Legal name
BAYLOR MEDICAL CENTER AT IRVING
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 17, 2023
Beds
288
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1995 in TX
Enrollment address
1901 N Macarthur Blvd
Irving, TX 75061-2220
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

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 & White Medical Center at IrvingCCN 450079 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Baylor Senior HLTH Ctr4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2740 N Highway
#360
Grand Prairie, TX 75050
Phone (972) 606-8300

2001 N MacArthur Blvd
Irving, TX 75061
Phone (972) 606-8300

440 W Interstate 635
Ste 120A
Irving, TX 75063
Phone (972) 785-5650

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
Justin Meier Individual Operational/Managerial ControlSVP Corporate Finance Feb 9, 2023
Pamela Linton Individual Corporate DirectorTrustee Jul 1, 2024
Baylor Health Care System Organization, Dallas, TX Corporation Operational/Managerial Control Jan 1, 2008
Baylor Scott & White Health Organization, Temple, TX Non-profit Operational/Managerial Control Mar 1, 2014
Stephen Roussel Individual W-2 Managing EmployeeCfo Jun 1, 2016
Operational/Managerial ControlCfo Jun 1, 2016
Rodrick Robinson Individual Corporate DirectorTrustee Oct 1, 2020
Marissa Yarid Hernandez Individual Corporate DirectorTrustee Mar 26, 2021
Timothy L Owens Individual Corporate DirectorTrustee Jul 1, 2024
Wendy Hawkins Hermes Individual Operational/Managerial ControlTrustee Jul 1, 2023
Jeff Schmeltekopf Individual Corporate DirectorTrustee Jul 1, 2016
Amy J Wilson Individual Operational/Managerial ControlTrustee Mar 31, 2023
Harry Dugger Individual Corporate DirectorTrustee Jul 1, 2019
Cindy Schamp Individual W-2 Managing EmployeeCeo Jul 7, 2008
Operational/Managerial ControlCeo Jul 7, 2008
Baylor Scott & White Holdings Organization, Dallas, TX Non-profit Other Mar 1, 2014
Lisa Hultz Individual Corporate DirectorTrustee Jul 1, 2022

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White Surgical Hospital - Las ColinasIrving, TX, CCN 450874 Hospital 5% Or Greater Direct Ownership Interest (33.71%) Jun 16, 2003

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 64

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 64

Affiliated clinicians 414

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

View all 414

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1992700983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841590",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841590",
            "telephone_number": "214-820-6710",
            "fax_number": "214-820-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612220",
            "telephone_number": "972-579-8104",
            "fax_number": "972-579-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR MEDICAL CENTER AT IRVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHAMP",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-579-8102"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "56113",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121776204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.