NORTH DALLAS SURGICAL SPECIALISTS, PA
NPI 1912935560
Surgery in Richardson, TX

Q: What is North Dallas Surgical Specialists, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 30, 2006

3600 SHIRE BLVD STE 104, RICHARDSON, TX 75082(972) 487-6400(972) 487-1686 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2022, Mar 7, 2018 (2 updates tracked since 2018).

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About North Dallas Surgical Specialists, Pa NPPES

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

NORTH DALLAS SURGICAL SPECIALISTS, PA (NPI 1912935560) is a healthcare organization registered as a surgery in Richardson, Texas and active in the NPI registry since June 2006. The organization lists Kelly Vacendak, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912935560

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNORTH DALLAS SURGICAL SPECIALISTS, PA

Location Address3600 SHIRE BLVD STE 104Richardson, TX 75082-2236

Mailing Address3600 Shire Blvd Ste 104Richardson, TX 75082-2236 · (972) 487-6400 · Fax (972) 487-1686

Phone(972) 487-6400

Fax(972) 487-1686

Organization SubpartNo

Authorized OfficialKelly VacendakOffice Manager · (972) 487-6400

Enumeration DateJune 30, 2006

Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration

NPPES CertifiedMarch 7, 2022

✔ NPI 1912935560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3600 SHIRE BLVD STE 104, Richardson, TX 75082

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Other Identifiers 1

Medicaid080799202TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Dallas Surgical Specialists, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to North Dallas Surgical Specialists, PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Mark Bailey, M.D.

General Surgery

NPI 1114979796

3600 SHIRE BLVD STE 104
Richardson, TX 75082

(972) 487-6400