NPIMap

Individual provider Active NPI

Matt Douglas Fay, M.D.

  • Interventional Cardiology Physician
  • North Richland Hills, TX
National Provider Identifier
1467613067
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
Q4579 Issued in TX
Practice address
6035 Precinct Line Rd
North Richland Hills, TX 76180-5410
Phone
(817) 398-4300
Fax
(817) 398-4301
NPI assigned
Jun 17, 2008
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Q4579 TX Primary

Addresses

Primary practice location

6035 Precinct Line Rd
North Richland Hills, TX 76180-5410

Mailing address

4650 Lake Ridge Parkway
Suite 300
Grand Prairie, TX 75052-1908
Phone (817) 398-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001217 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6204081094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

4560 Lake Ridge Pkwy
Suite 300
Grand Prairie, TX 75052-1706
Phone (817) 473-6867

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 11, 2022 Accepting new patients
Medhealth Internal Medicine Current Accepting new patients
Mid Cities ASC, LP PastSince Sep 1, 2016 Accepting new patients
Heartplace, PLLC Interventional Cardiology Past Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

4560 Lake Ridge Pkwy
Ste 300
Grand Prairie, TX 75052
Phone (214) 278-5000

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

6035 Precinct Line Rd
North Richland Hills, TX 76180
Phone (817) 398-4300

Interoperability endpoints

  • Direct secure messaging: mfay153002@dm.mhd.com

Organizations & group practices 4

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.

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1467613067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 LAKE RIDGE PARKWAY",
            "address_2": "SUITE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521908",
            "telephone_number": "817-398-4300",
            "fax_number": "817-398-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 PRECINCT LINE RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761805410",
            "telephone_number": "817-398-4300",
            "fax_number": "817-398-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "MATT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "Q4579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.