Individual provider Active NPI

Thomas Patrick Heffernan, MD

  • Gynecologic Oncology Physician
  • Dallas, TX
National Provider Identifier
1326148651
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
M1752 Issued in TX
Practice address
12200 Park Central Dr Ste 410
Dallas, TX 75251-2101
Phone
(972) 490-5970
Fax
(972) 490-5632
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M1752 TX
Gynecologic Oncology Physician 207VX0201X M1752 TX Primary

Addresses

Primary practice location

12200 Park Central Dr Ste 410
Dallas, TX 75251-2101

Mailing address

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Other practice location 1

1600 Coit Rd Ste 408
Plano, TX 75075-6173
Phone (214) 379-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address theffernan@ntgo.oncoemrdirect.com Direct Oncology-Hematology Consultants PA

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
I20050827000135 TX Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 8224069430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Miami, LM Miller School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology Hematology Consultants, PAGroup PAC ID 5496646382, 72 clinicians

Practice addresses (Care Compare)

12200 Park Central Dr
Dallas, TX 75251-2100
Phone (972) 490-5970

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1752TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology-Hematology Consultants PA Gynecologic Oncology CurrentSince May 17, 2021 Accepting new patients
Oncology Hematology Consultants, PA CurrentSince May 17, 2021 Accepting new patients

Locations

12200 Park Central Dr
Ste 410
Dallas, TX 75251
Phone (942) 490-5970

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

7415 Las Colinas Blvd
Ste 100
Irving, TX 75063
Phone (214) 379-2722

7415 Las Colinas Blvd
Irving, TX 75063
Phone (248) 760-3339

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1600 Coit Rd
Ste 408
Plano, TX 75075
Phone (972) 492-3587

4001 W 15th St
Ste 200
Plano, TX 75093
Phone (972) 608-2025

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

Interoperability endpoints

  • Direct secure messaging: theffernan@txcc.oncoemrdirect.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1326148651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 PARK CENTRAL DR STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512101",
            "telephone_number": "972-490-5970",
            "fax_number": "972-490-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Coit Rd Ste 408",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756173",
            "country_code": "US",
            "telephone_number": "214-379-2700",
            "fax_number": "972-869-3875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M1752",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "M1752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theffernan@ntgo.oncoemrdirect.com",
            "affiliation": "Y",
            "affiliationName": "Oncology-Hematology Consultants PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1600 Coit Rd Ste 408",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750756173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.