Active NPI
Heath Charles Tennyson, MD
- Otolaryngology Physician
- Bellefontaine, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35.120409
- Practice address
- 1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017 - Phone
- (937) 592-9799
- Fax
- (937) 592-9789
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 49866 | AZ | |
| Otolaryngology Physician | 207Y00000X | 1057676A | IN | |
| Otolaryngology Physician | 207Y00000X | 35.120409 | OH | Primary |
Addresses
Primary practice location
1134 N Main St Ste 3100
Bellefontaine, OH 43311-0017
Mailing address
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-9799
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810024975 | Medicaid | WV | |
| 0078122 | Medicaid | OH | |
| 970673 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Arizona College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1134 N Main St
Suite 3100
Bellefontaine, OH 43311-0017
Phone (937) 651-3270
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1057676A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mary Rutan Hospital | Otolaryngology | Current | Accepting new patients |
| Desert Valley ENT, PC | Otolaryngology | Current | Accepting new patients |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mary Rutan Hospital | Past | Accepting new patients | |
| Tennessee Ear, Nose & Throat Consultants, PC | Otolaryngology | Past | Accepting new patients |
| North Sound Emergency Medicine PC | Past | Accepting new patients | |
| Northern Arizona Ear Nose and Throat PC | Otolaryngology | Past | Accepting new patients |
| Valley ENT, PC | Otolaryngology | Past | Accepting new patients |
| Otolaryngology Center of East Tennessee PC | Otolaryngology | Past | Accepting new patients |
Locations
2680 S Val Vista Dr
Bldg 1
Gilbert, AZ 85295
Phone (480) 784-0110
2680 S Val Vista Dr
Ste 175
Gilbert, AZ 85295
Phone (480) 784-0110
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
1134 N Main St
Ste 3100
Bellefontaine, OH 43311
Phone (937) 651-6441
911 S Main St
Kenton, OH 43326
Phone (937) 404-9751
120 W Main St
Russells Point, OH 43348
Phone (937) 843-2048
1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500
209 Lippincott Ln
Urbana, OH 43078
Phone (937) 599-7058
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.
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
-
- Otolaryngology Physician
- Gilbert, AZ
- NPI 1184713430
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
-
- Rural Health Clinic/Center
- Jackson Center, OH
- NPI 1528806510
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1114937919
-
- Otolaryngology Physician
- Flagstaff, AZ
- NPI 1558449900
-
- Otolaryngology Physician
- Maryville, TN
- NPI 1639197593
-
- Otolaryngology Physician
- Knoxville, TN
- NPI 1255352266
-
- Otolaryngology Physician
- Tucson, AZ
- NPI 1770852600
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1700856069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E PALMER RD",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112281",
"telephone_number": "937-592-9799",
"fax_number": "937-592-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 N MAIN ST STE 3100",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433110017",
"telephone_number": "937-592-9799",
"fax_number": "937-592-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNYSON",
"first_name": "HEATH",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "49866",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "1057676A",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35.120409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810024975",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078122",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "970673",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.