Individual provider Active NPI

Henry Huffman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1619957560
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
K6607 Issued in TX
Practice address
4350 Alpha Rd
Dallas, TX 75244-4404
Phone
(972) 404-9345
Fax
(972) 404-2506
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X K6607 TX Primary

Addresses

Primary practice location

4350 Alpha Rd
Dallas, TX 75244-4404

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other identifiers 1

IdentifierTypeStateIssuer
147566701MedicaidTX

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
I20100514000030 TX Practitioner - Pathology 1557499464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Mississippi School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Gastroenterology AssociatesGroup PAC ID 5991795056, 15 clinicians

Practice addresses (Care Compare)

364 Richland W Cir
Suite a
Waco, TX 76712-7919
Phone (254) 537-0911

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Mar 29, 1999 Accepting new patients
Waco Gastroenterology Associates CurrentSince Feb 1, 2025 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Mar 29, 1999 Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

4350 Alpha Rd
Dallas, TX 75244
Phone (972) 934-4300

2709 Hospital Blvd
Grand Prairie, TX 75051
Phone (469) 999-0000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

364 Richland West Cir
Waco, TX 76712
Phone (254) 537-0306

364 Richland West Cir
#A
Waco, TX 76712
Phone (254) 537-0911

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1619957560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 ALPHA RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444404",
            "telephone_number": "972-404-9345",
            "fax_number": "972-404-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K6607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147566701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.