Irving Coppell Surgical Hospital
Organization Active NPI Special Hospital · Irving, TX
NPI 1992772008 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992772008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Special Hospital 284300000X
- License
- 007995 (TX)
- Legal business name
- IRVING COPPELL SURGICAL HOSPITAL
- Practice address
- 400 W LBJ Fwy
Suite 101
Irving, TX 75063-3707 - Phone
- (972) 868-4000
- Fax
- (972) 868-4009
- NPI assigned
- Mar 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Gabrielle Christi-Ann Holland
- Title
- Dir of Finance
- Phone
- (972) 868-4006
Owners & managing parties with NPI records 8
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
David K Hunter, DDS
Affiliated clinicians 131
-
Chinenye Akaluso, MD
-
Marcus L Allen, MD
-
Raphael Richard Aybar, M.D.
-
Niraj Badhiwala, M.D.
-
Robert E Bayless, M.D.
-
Subir S Bhatia, MD
-
Keith D Bloom, MD
-
Lisa Vu Boyer, MD
-
Dixie Lee Bury, MD
-
Justin A Caplinger, PA-C
-
Calvin Chan, MD
-
Alin Chang, MD
-
Brandon Chau, M.D.
-
Harold K Childs, MD
-
Whitney Leigh Chouteau, D.O.
-
Lori Bevis Clifford, M.D.
-
Timothy B Cole, MD
-
Jason L. Couch, MD
-
Paul Joseph Courtney, M.D.
-
Katherine Elaine Cowart, PA-C
-
Kathryn Noel Davis, PA-C
-
Anil I Desai, MD
Medicare Care Compare: Hospital
- Listed as
- Baylor Surgical Hospital at Las Colinas
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 450874
- Legal name
- IRVING-COPPELL SURGICAL HOSPITAL LLP
- Doing business as
- BAYLOR SCOTT & WHITE SURGICAL HOSPITAL - LAS COLINAS
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 3, 2003
- Last certification
- Apr 13, 2010
- Beds
- 20
- Ownership / control type
- Private (for profit)
- Organization structure
- Partnership · Proprietary
- Incorporated
- Dec 13, 2002 in TX
- Enrollment address
- 400 W Lyndon B Johnson Fwy, Ste 101B
Baylor Scott & White Surgical Hospital - Las Colin
Irving, TX 75063-3718 - Hospital subgroups
- General
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| United Surgical Partners International Inc |
5% Or Greater Indirect Ownership Interest | Jun 16, 2003 | |
| Donita a Fleming |
Corporate Officer | Jan 1, 2023 | |
| Corporate Director | Jan 1, 2023 | ||
| W-2 Managing Employee | Jan 1, 2023 | ||
| Tenet Healthcare Corporation |
5% Or Greater Indirect Ownership Interest | Jun 16, 2015 | |
| Jessica Hill |
W-2 Managing Employee |
Mar 10, 2025 | |
| VHS San Antonio Partners LLC |
5% Or Greater Indirect Ownership Interest | Jun 16, 2015 | |
| Usp Domestic Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jun 16, 2003 | |
| Melissa Walker |
Corporate Officer |
Aug 29, 2022 | |
| W-2 Managing Employee | Aug 29, 2022 | ||
| United Surgical Partners Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jun 16, 2003 | |
| Usp North Texas Inc |
5% Or Greater Indirect Ownership Interest | Jun 16, 2003 | |
| THVG Irving-Coppell GP, LLC |
5% Or Greater Direct Ownership Interest | Dec 1, 2016 | 19.24% |
| Uspi Holding Company Inc |
5% Or Greater Indirect Ownership Interest | Jun 16, 2015 | |
| Texas Health Ventures Group LLC |
5% Or Greater Indirect Ownership Interest | Jun 16, 2003 | |
| Operational/Managerial Control | Jun 16, 2003 | 100% | |
| Uspi Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Apr 19, 2007 | |
| Uspi Holdings Inc |
5% Or Greater Indirect Ownership Interest | Apr 19, 2007 | |
| HCN Surgery Center Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jun 16, 2015 | |
| Houston Northwest Partners LTD |
5% Or Greater Indirect Ownership Interest | Jun 16, 2015 | |
| Baylor Medical Center at Irving |
5% Or Greater Direct Ownership Interest | Jun 16, 2003 | 33.71% |
| Baylor University Medical Center |
5% Or Greater Indirect Ownership Interest | Mar 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091112000330 | TX | Part a Provider - Hospital | 6608787940 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Irving, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | 007995 | TX | Yes |
Addresses
Primary practice location
400 W LBJ Fwy
Suite 101
Irving, TX 75063-3707
Mailing address
400 W LBJ Fwy
Irving, TX 75063-3707
Phone (972) 868-4000
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.