TEXAS ENDOSCOPY AT INDEPENDENCE MEDICAL VILLAGE
NPI 1902218456
Clinic/Center - Ambulatory Surgical in Plano, TX

NPI Status: Active since June 02, 2014

Contact Information

8080 INDEPENDENCE PKWY
STE 160
PLANO, TX
ZIP 75025
Phone: (972) 908-3000
Fax: (972) 908-3030

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 45D1034646
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-07-2026

About TEXAS ENDOSCOPY AT INDEPENDENCE MEDICAL VILLAGE

This page provides the complete NPI Profile along with additional information for Texas Endoscopy At Independence Medical Village, a provider established in Plano, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1902218456 assigned on June 2014. The practitioner's primary taxonomy code is 261QA1903X with license number 130197 (TX). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Texas Endoscopy At Independence Medical Village. The authorized official of this NPI record is Donita Fleming (Officer / Authorized Official)

NPI
1902218456
Provider Legal Name
TEXAS ENDOSCOPY CENTERS, LLC
Other Organization Name
TEXAS ENDOSCOPY AT INDEPENDENCE MEDICAL VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8080 INDEPENDENCE PKWY STE 160 PLANO, TX 75025
Location Phone
(972) 908-3000
Location Fax
(972) 908-3030
Mailing Address
8080 INDEPENDENCE PKWY STE 160 PLANO, TX 75025
Mailing Phone
(972) 908-3000
Mailing Fax
(972) 908-3030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2014
Last Update Date
10-24-2024
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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.
130197
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DONITA FLEMING

Authorized Official Title
OFFICER / AUTHORIZED OFFICIAL
Authorized Official Phone
(202) 815-3665

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 38 times for 38 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 356 times for 353 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 351 times for 351 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 111 times for 111 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 109 times for 109 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 13 times for 13 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 34 times for 33 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 13 times for 13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 480 times for 480 patients

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
45D1034646
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 08, 2024
Certificate Expiration Date
December 07, 2026
Laboratory Director
DAVID I. PARK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Texas Endoscopy At Independence Medical Village 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 1902218456, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 0 → 0 2 → 4 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 4 + 1 + 1 + 6 + 4 + 1 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1902218456.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Physical Therapist
8080 INDEPENDENCE PKWY, SUITE 110
PLANO, TX 75025
Family Medicine
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Internal Medicine
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Family Medicine
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Physician Assistant
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Family Medicine
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Physician Assistant
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Physician Assistant
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Nurse Practitioner (Family)
8080 INDEPENDENCE PKWY
PLANO, TX 75025
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Podiatrist
8080 INDEPENDENCE PKWY
PLANO, TX 75025
Nurse Anesthetist, Certified Registered
8080 INDEPENDENCE PKWY
PLANO, TX 75025
Surgery
8080 INDEPENDENCE PKWY, SUITE 115
PLANO, TX 75025
Nurse Practitioner (Adult Health)
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Nurse Practitioner (Family)
8080 INDEPENDENCE PKWY, SUITE 200
PLANO, TX 75025
Student in an Organized Health Care Education/Training Program
8080 INDEPENDENCE PKWY
PLANO, TX 75025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902218456, enumerated as an "organization" on June 02, 2014.

The provider is located at 8080 INDEPENDENCE PKWY STE 160 PLANO, TX 75025 and the phone number is (972) 908-3000.

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

The provider might be accepting Accepts: Baylor Scott and White Health Plan and Blue Cross. Please consult your insurance carrier or call the provider to verify.