Individual provider Active NPI

David Alphonso Hector, MD

  • Interventional Cardiology Physician
  • Tyler, TX
National Provider Identifier
1578558987
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G1914 Issued in TX
Practice address
619 S Fleishel Ave
Suite 101
Tyler, TX 75701-2004
Phone
(903) 595-5514
NPI assigned
Sep 13, 2005
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G1914 TX
Interventional Cardiology Physician 207RI0011X G1914 TX Primary

Addresses

Primary practice location

619 S Fleishel Ave
Suite 101
Tyler, TX 75701-2004

Mailing address

619 S Fleishel Ave
Suite 101
Tyler, TX 75701-2004
Phone (903) 595-5514

Other identifiers 4

IdentifierTypeStateIssuer
89424JOtherTXBCBS OF TEXAS
139586605OtherTXUNITED HEALTHCARE
4619664OtherTXAETNA
119259301MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000770 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1658276670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Cincinnati College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

2608 McDonald Rd
Tyler, TX 75701-5934
Phone (903) 595-5514

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1914TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Christus Trinity Clinic Texas Cardiovascular Disease CurrentSince Jun 15, 2010 Accepting new patients
Etmc Physician Group Inc. Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 15, 2010 Accepting new patients
Starks Medical Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

702 Davis St
Carthage, TX 75633
Phone (903) 693-3841

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

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

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

2401 Sse Loop 323
Tyler, TX 75701
Phone (903) 510-7212

2608 McDonald Rd
Tyler, TX 75701
Phone 903595551487262

619 S Fleishel Ave
Ste 101
Tyler, TX 75701
Phone (903) 606-2296

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

901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418

Interoperability endpoints

  • Direct secure messaging: dhector355174@ahs.direct-ci.com

Organizations & group practices 5

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1578558987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE",
            "address_2": "SUITE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-595-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE",
            "address_2": "SUITE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-595-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECTOR",
        "first_name": "DAVID",
        "middle_name": "ALPHONSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G1914",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "89424J",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "139586605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4619664",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119259301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.