NPIMap

Individual provider Active NPI

Clay M Heighten, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1154421527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G3453 Issued in TX
Practice address
9229 LBJ Freeway
Suite 250
Dallas, TX 75243
Phone
(972) 739-3097
Fax
(972) 739-2673
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G3453 TX Primary

Addresses

Primary practice location

9229 LBJ Freeway
Suite 250
Dallas, TX 75243

Mailing address

9229 LBJ Freeway
Suite 250
Dallas, TX 75243
Phone (972) 739-3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G3453TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians and Allied Health Professionals Group, PA Internal Medicine PastSince Oct 18, 1999 Accepting new patients
Prestonwood Surgery Center LLC PastSince Dec 27, 2007 Accepting new patients
El Paso Physician Group PA Internal Medicine PastSince Sep 1, 2003 Accepting new patients
Hospitalist Group of El Paso PA Internal Medicine PastSince Jan 9, 2003 Accepting new patients
Metroplex Geriatric Associates PA Internal Medicine PastSince Jan 13, 2004 Accepting new patients

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154421527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 LBJ FREEWAY",
            "address_2": "SUITE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "972-739-3097",
            "fax_number": "972-739-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 LBJ FREEWAY",
            "address_2": "SUITE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "972-739-3097",
            "fax_number": "972-739-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIGHTEN",
        "first_name": "CLAY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.