Individual provider Active NPI

Billy Max Eden, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Tyler, TX
National Provider Identifier
1356370464
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
F8094 Issued in TX
Practice address
120 E Charnwood St
Ste B
Tyler, TX 75701-1708
Phone
(903) 525-1664
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X F8094 TX Primary

Addresses

Primary practice location

120 E Charnwood St
Ste B
Tyler, TX 75701-1708

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Other practice location 1

810 Hospital Dr Ste 235
Beaumont, TX 77701-4654
Phone (409) 833-2382

Other identifiers 6

IdentifierTypeStateIssuer
8FS313OtherTXBCBS
P01628359OtherTXRAIL ROAD MEDICARE
75-2616977-026OtherTXTRICARE
109389001MedicaidTX
131961809MedicaidTX
75-2616977-129OtherTXTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040928000284 TX Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 3971572835 Reassigns benefits to 3 organizations
I20210729000160 OK Practitioner - Sleep MedicinePractitioner - Internal Medicine 3971572835 Reassigns benefits to 1 organization
I20240516000699 TX Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 3971572835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
University of Oklahoma College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1201 Fairmount Ave
Fort Worth, TX 76104-4215
Phone (817) 335-5288

6440 N Central Expy
Suite 307
Dallas, TX 75206-4173
Phone (817) 379-6334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Sleep Medicine CurrentSince Mar 14, 2016 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 14, 2016 Accepting new patients
Medigy Group PLLC Sleep Medicine CurrentSince Nov 1, 2022 Accepting new patients
Texas Sleep Clinic - BT PLLC CurrentSince Mar 9, 2020 Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA Sleep Medicine CurrentSince May 15, 2024 Accepting new patients
Oklahoma Sleep Institute Clinic Okc LLC Osi Clinic CurrentSince Apr 24, 2021 Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients
Sleep Safe LLC PastSince Sep 25, 2022 Accepting new patients
Trinity Clinic Past Accepting new patients
Medigy LLC Past Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA Sleep Medicine PastSince May 15, 2024 Accepting new patients

Locations

13901 Technology Dr
Ste A
Oklahoma City, OK 73134

13901 Technology Dr
Oklahoma City, OK 73134

515 W Mayfield Rd
Ste 240
Arlington, TX 76014
Phone (469) 301-1725

810 Hospital Dr
Ste 235
Beaumont, TX 77701
Phone (409) 790-7841

810 Hospital Dr
Ste 235A
Beaumont, TX 77701
Phone (409) 833-9241

6440 N Central Expy
Ste 307
Dallas, TX 75206
Phone (817) 379-6334

1307 8th Ave
#404B
Fort Worth, TX 76104
Phone (408) 833-9241

2941 Oak Park Cir
Ste 200
Fort Worth, TX 76109
Phone (817) 332-7433

1201 Fairmount Ave
Fort Worth, TX 76104
Phone (817) 335-5288

1307 8th Ave
Ste 404
Ft Worth, TX 76104
Phone (409) 833-9241

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

120 E Charnwood St
Ste B
Tyler, TX 75701
Phone (903) 525-1664

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4
  • Direct secure messaging: billy.eden.1@13821.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHDCDD/Endpoint/HHDCDD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72070

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1356370464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E CHARNWOOD ST",
            "address_2": "STE B",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011708",
            "telephone_number": "903-525-1664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Hospital Dr Ste 235",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014654",
            "country_code": "US",
            "telephone_number": "409-833-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDEN",
        "first_name": "BILLY",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "F8094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FS313",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01628359",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-026",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109389001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131961809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.