MERCY AMBULATORY SURGERY CENTER OF DALLAS
NPI 1164937272
Clinic/Center - Ambulatory Surgical in Dallas, TX

NPI Status: Active since December 12, 2017

Contact Information

12606 GREENVILLE AVE
DALLAS, TX
ZIP 75243
Phone: (972) 982-7887
Fax: (972) 982-7058

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 45D2151440
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-17-2026

About MERCY AMBULATORY SURGERY CENTER OF DALLAS

This page provides the complete NPI Profile along with additional information for Mercy Ambulatory Surgery Center Of Dallas, a provider established in Dallas, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1164937272 assigned on December 2017. The practitioner's primary taxonomy code is 261QA1903X with license number 130355 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Adnan Shaikh (Practice Consultant)

NPI
1164937272
Provider Name
MERCY AMBULATORY SURGERY CENTER OF DALLAS
Entity Type
Organization
Location Address
12606 GREENVILLE AVE DALLAS, TX 75243
Location Phone
(972) 982-7887
Location Fax
(972) 982-7058
Mailing Address
PO BOX 797946 DALLAS, TX 75379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2017
Last Update Date
11-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
130355
License State
TX

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADNAN SHAIKH

Authorized Official Title
PRACTICE CONSULTANT
Authorized Official Phone
(972) 954-2133

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2151440
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 18, 2024
Certificate Expiration Date
July 17, 2026
Laboratory Director
ERIN R. PRICE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mercy Ambulatory Surgery Center Of Dallas to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164937272, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 8 + 3 + 1 + 4 + 2 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1164937272.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
12606 GREENVILLE AVE, SUITE #104
DALLAS, TX 75243
Clinic/Center (Oncology, Radiation)
12606 GREENVILLE AVE, STE 160
DALLAS, TX 75243
Pediatrics
12606 GREENVILLE AVE, SUITE # 104
DALLAS, TX 75243
Clinic/Center (Ambulatory Surgical)
12606 GREENVILLE AVE, SUITE 190
DALLAS, TX 75243
Internal Medicine (Hematology & Oncology)
12606 GREENVILLE AVE, SUITE 160
DALLAS, TX 75243
Chiropractor
12606 GREENVILLE AVE, SUITE 205
DALLAS, TX 75243
Specialist
12606 GREENVILLE AVE, SUITE 160
DALLAS, TX 75243
Clinical Medical Laboratory
12606 GREENVILLE AVE, SUITE 190
DALLAS, TX 75243
Radiology (Radiation Oncology)
12606 GREENVILLE AVE, SUITE 160
DALLAS, TX 75243
Radiology (Radiation Oncology)
12606 GREENVILLE AVE, SUITE 160
DALLAS, TX 75243
Clinic/Center (Occupational Medicine)
12606 GREENVILLE AVE, SUITE 205
DALLAS, TX 75243
Anesthesiology (Pain Medicine)
12606 GREENVILLE AVE
DALLAS, TX 75243
Clinic/Center (Radiology)
12606 GREENVILLE AVE, SUITE 110
DALLAS, TX 75243
Clinic/Center (Radiology)
12606 GREENVILLE AVE, 110
DALLAS, TX 75243
Clinic/Center (Oncology, Radiation)
12606 GREENVILLE AVE, STE. 160
DALLAS, TX 75243
Clinic/Center (Oncology, Radiation)
12606 GREENVILLE AVE, STE. 160
DALLAS, TX 75243
Radiology (Radiation Oncology)
12606 GREENVILLE AVE, SUITE 160
DALLAS, TX 75243
Surgery
12606 GREENVILLE AVE
DALLAS, TX 75243
Clinic/Center
12606 GREENVILLE AVE
DALLAS, TX 75243
Anesthesiology
12606 GREENVILLE AVE
DALLAS, TX 75243

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164937272, enumerated as an "organization" on December 12, 2017.

The provider is located at 12606 GREENVILLE AVE DALLAS, TX 75243 and the phone number is (972) 982-7887.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.