NPIMap

Organization Active NPI

Irving Coppell Surgical Hospital

  • Special Hospital
  • Irving, TX
National Provider Identifier
1992772008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
007995 Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gabrielle Christi-Ann Holland
Title
Dir of Finance
Phone
(972) 868-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 007995 TX Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992772008. Details of each certification follow.

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
PartnershipProprietary
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
Main/Primary Hospital Location
Hospital subgroups
General

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 Surgical Hospital at Las ColinasCCN 450874 · All quality measures
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 4

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

Locations

400 W Lyndon B Johnson Fwy
Ste 101B
Irving, TX 75063
Phone (972) 868-4000

Ownership & related parties

All disclosed owners & managing parties 18

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, For-profit 5% Or Greater Indirect Ownership Interest Jun 16, 2003
Donita a Fleming Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 1, 2023
W-2 Managing Employee Jan 1, 2023
Tenet Healthcare Corporation Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Jessica Hill Individual W-2 Managing EmployeeAd; Mar 10, 2025
VHS San Antonio Partners LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Usp Domestic Holdings Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 16, 2003
Melissa Walker Individual Corporate OfficerCfo Aug 29, 2022
W-2 Managing Employee Aug 29, 2022
United Surgical Partners Holdings Inc Organization, Addison, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 16, 2003
Usp North Texas Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 16, 2003
THVG Irving-Coppell GP, LLC Organization, Addison, TX LLC 5% Or Greater Direct Ownership Interest Dec 1, 2016 19.24%
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 Jun 16, 2003
Operational/Managerial Control Jun 16, 2003 100%
Uspi Group Holdings Inc Organization, Addison, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 19, 2007
Uspi Holdings Inc Organization, Addison, TX Corporation, For-profit 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
Houston Northwest Partners LTD Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Jun 16, 2015
Baylor Medical Center at Irving Organization, Irving, TX For-profit 5% Or Greater Direct Ownership Interest Jun 16, 2003 33.71%
Baylor University Medical Center Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2018

Owners & managing parties with NPI records 8

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

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 131

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

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992772008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-868-4000",
            "fax_number": "972-868-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY",
            "address_2": "SUITE 101",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-868-4000",
            "fax_number": "972-868-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING COPPELL SURGICAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "CHRISTI-ANN",
        "authorized_official_title_or_position": "DIR OF FINANCE",
        "authorized_official_telephone_number": "972-868-4006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TX",
            "license": "007995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.