Alisa Thamwiwat, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Bedford, TX
NPI 1649565953 · NPPES record last updated May 19, 2023
Key facts
- NPI
- 1649565953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- P9751 (TX)
- Practice address
- 1604 Hospital Pkwy Ste 301
Bedford, TX 76022 - Phone
- (817) 684-9970
- Fax
- (844) 290-4362
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Texas Tech University Health Science Center School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cardiac Cath Lab of Mid Cities, LP
Heartplace PLLC
Practice addresses (Care Compare)
1305 Airport Fwy
Suite 121
Bedford, TX 76021-6603
Phone (682) 305-1112
1604 Hospital Pkwy
Suite 301
Bedford, TX 76022-6931
Phone (817) 684-9970
902 W Randol Mill Rd
Suite 200
Arlington, TX 76012-2581
Phone (817) 461-3003
Hospital & facility affiliations
- Texas Health Harris Methodist Hurst-Euless-Bedford
- Texas Health Huguley Hospital Fort Worth South
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.12 of 100
- Quality
- 81.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180724000122 | TX | Practitioner - Interventional Cardiology |
5991052847 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10041540 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartplace, PLLC | Current |
Accepting new patients | |
| Heartplace, PLLC | Cardiovascular Disease | Current |
Accepting new patients |
| Heartplace, PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Cardiac Cath Lab of Mid Cities, LP | Current |
Accepting new patients | |
| Mid Cities ASC, LP | Past |
Accepting new patients | |
| Heartplace, PLLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915
902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003
400 W Arbrook Blvd
Ste 120
Arlington, TX 76014
Phone (817) 468-8400
1305 Airport Fwy
Ste 121
Bedford, TX 76021
Phone (682) 305-1112
1604 Hospital Pkwy
Ste 301
Bedford, TX 76022
Phone (817) 684-9970
701 E Rendon Crowley Rd
Burleson, TX 76028
Phone (817) 293-9292
16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565
399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100
1545 E Southlake Blvd
Ste 250
Southlake, TX 76092
Phone (214) 663-4339
Interoperability endpoints
- alisa.thamwiwat@ushv.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10041540 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | P9751 | TX | |
| Nuclear Cardiology Physician | 207UN0901X | P9751 | TX | |
| Interventional Cardiology Physician | 207RI0011X | P9751 | TX | Yes |
Addresses
Primary practice location
1604 Hospital Pkwy Ste 301
Bedford, TX 76022
Mailing address
1604 Hospital Pkwy Ste 301
Bedford, TX 76022-6931
Phone (817) 684-9970
Other providers in Bedford, TX
- Texas Psychiatry Associates, P.a
- Texas Radiology Associates LLP
- Lauren Thacker
- Nam Hoang Thai
- Ishani Thakkar
- The Mental Shift Wellness Center
- The Wholistic Institute
- Amy Lynn Thomas
- Madhavi Thomas
- Randi Thomas
All providers in Bedford, TX · Interventional Cardiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.