SUREPOINT EMERGENCY CENTER CHISHOLM TRAIL
NPI 1992273544
Emergency Medicine in Fort Worth, TX

NPI Status: Active since November 12, 2018

Contact Information

7445 OAKMONT BLVD
FORT WORTH, TX
ZIP 76132
Phone: (469) 830-8200

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  • Organization
  • Emergency Medicine
  • CLIA Number: 45D2171597
  • CLIA Cert. Type: Other - FSER
  • CLIA Exp. Date: 06-16-2026

About SUREPOINT EMERGENCY CENTER CHISHOLM TRAIL

This page provides the complete NPI Profile along with additional information for Surepoint Emergency Center Chisholm Trail, a provider established in Fort Worth, Texas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1992273544 assigned on November 2018. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Surepoint Emergency Center Chisholm Trail. The authorized official of this NPI record is Michelle Newsom (President)

NPI
1992273544
Provider Legal Name
EMCC CHISHOLM TRAIL, LLC
Other Organization Name
SUREPOINT EMERGENCY CENTER CHISHOLM TRAIL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7445 OAKMONT BLVD FORT WORTH, TX 76132
Location Phone
(469) 830-8200
Mailing Address
2300 MATLOCK RD STE 35 MANSFIELD, TX 76063
Mailing Phone
(469) 830-8200
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2018
Last Update Date
09-27-2024
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MICHELLE NEWSOM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(469) 830-8200

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
45D2171597
Facility Type
Other - FSER
Certificate Effective Date
June 17, 2024
Certificate Expiration Date
June 16, 2026
Laboratory Director
MIHIR TALATI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Surepoint Emergency Center Chisholm Trail on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1992273544, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 9 → 18 → 9 2 → 4 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 4 + 7 + 6 + 5 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1992273544.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Emergency Care)
7445 OAKMONT BLVD
FORT WORTH, TX 76132
Emergency Medicine (Emergency Medical Services)
7445 OAKMONT BLVD
FORT WORTH, TX 76132
Emergency Medicine
7445 OAKMONT BLVD
FORT WORTH, TX 76132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992273544, enumerated as an "organization" on November 12, 2018.

The provider is located at 7445 OAKMONT BLVD FORT WORTH, TX 76132 and the phone number is (469) 830-8200.

Emergency Medicine with taxonomy code 207P00000X.