Individual provider Active NPI

Timothy R Heath, MD

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1053315598
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H9984 Issued in TX
Practice address
5656 Kelley St
Houston, TX 77026-1967
Phone
(713) 566-5100
NPI assigned
Jun 13, 2005
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H9984 TX
General Practice Physician 208D00000X H9984 TX Primary
Hospitalist Physician 208M00000X H9984 TX

Addresses

Primary practice location

5656 Kelley St
Houston, TX 77026-1967

Mailing address

1133 John Freeman Blvd Ste Jjls80
Houston, TX 77030-2809
Phone (713) 500-6500

Other identifiers 8

IdentifierTypeStateIssuer
035070430MedicaidTX
8CR923OtherTXBCBS
035070439MedicaidTX
035070440OtherTXTMHP-CSHCN
035070429MedicaidTX
8BQ004OtherTXBCBS
TXB130797MedicaidTX
P00828165OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001388 TX Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Emergency Medicine 4385626456 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6414 Fannin St
G125
Houston, TX 77030-1517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H9984TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 14, 2011 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 23, 2015 Accepting new patients
Health and Human Services Commission General Practice CurrentSince Oct 30, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 14, 2011 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Jan 2, 2025 Accepting new patients
Health and Human Services Commission CurrentSince Oct 30, 2023 Accepting new patients
Ess of Port Lavaca LLC Emergency Medicine CurrentSince Dec 15, 2017 Accepting new patients
KTX Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Shawnee Trail Emergency Physicians Emergency Medicine Past Accepting new patients
Inpatient Consultants of Texas, PLLC Internal Medicine Past Accepting new patients
Harris County Hospital District General Practice Past Accepting new patients
Hill Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

101 Avenue J
Anson, TX 79501
Phone (325) 823-3231

705 E Greenwood Ave
Bowie, TX 76230
Phone (940) 872-1126

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2900 Sterling Hart Dr
Commerce, TX 75428
Phone (903) 408-1102

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Interoperability endpoints

  • Direct secure messaging: timothy.heath.1@27715.direct.athenahealth.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1053315598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 JOHN FREEMAN BLVD STE JJLS80",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302809",
            "telephone_number": "713-500-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 KELLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770261967",
            "telephone_number": "713-566-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9984",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H9984",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "H9984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035070430",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CR923",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035070439",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP-CSHCN",
            "identifier": "035070440",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035070429",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BQ004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TXB130797",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00828165",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.