MAPLESHADE SURGERY CENTER, LLC
NPI 1235789041
Clinic/Center - Ambulatory Surgical in Plano, TX

Active since September 13, 2019CLIA 45D2185135 · Waiver

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2020, May 22, 2020, Sep 13, 2019 (3 updates tracked since 2019).

About Mapleshade Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLESHADE SURGERY CENTER, LLC (NPI 1235789041) is a healthcare organization registered as an ambulatory surgical in Plano, Texas and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Gaolian Xie, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235789041
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMAPLESHADE SURGERY CENTER, LLC
Location Address960 OHIO DRPlano, TX 75093
Mailing Address960 Ohio Dr, Suite 100Plano, TX 75093-5556 · (972) 599-1447
Organization SubpartNo
Authorized OfficialGaolian XieAdministrator · (281) 309-8370
Enumeration DateSeptember 13, 2019
Last NPPES UpdateMay 27, 20203 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
NPI 1235789041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
960 OHIO DR, Plano, TX 75093

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2185135

Mapleshade Surgery Center · Plano, TX
Active · expires May 28, 2028
CLIA Number45D2185135
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorXinging Fan
Laboratory Phone(972) 599-1447
Laboratory LocationMapleshade Surgery Center960 Ohio Dr Suite 100, Plano, TX 75093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mapleshade Surgery Center, LLC's NPI number?

The NPI number for Mapleshade Surgery Center, LLC is 1235789041. It was assigned to this organization in the NPPES registry on September 13, 2019.

Where is Mapleshade Surgery Center, LLC located?

Mapleshade Surgery Center, LLC is located at 960 Ohio Dr, Plano, TX 75093. The listed phone number is (281) 309-8370.

What is Mapleshade Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mapleshade Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2185135) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mapleshade Surgery Center, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Mapleshade Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mapleshade Surgery Center, LLC was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.