Individual provider Active NPI

Heath Charles Tennyson, MD

  • Otolaryngology Physician
  • Bellefontaine, OH
National Provider Identifier
1700856069
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35.120409 Issued in OH
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

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3810024975MedicaidWV
0078122MedicaidOH
970673MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130212000365 OH Practitioner - OtolaryngologyPractitioner - Sleep Medicine 8123150927 Reassigns benefits to 1 organization
I20150316001736 AZ Practitioner - Otolaryngology 8123150927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Sleep Medicine
Education
University of Arizona College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

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 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1057676AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital Current Accepting new patients
Mary Rutan Hospital Otolaryngology CurrentSince Oct 15, 2024 Accepting new patients
Desert Valley ENT, PC Otolaryngology CurrentSince Jan 26, 2015 Accepting new patients
Mary Rutan Hospital CurrentSince Oct 15, 2024 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Tennessee Ear, Nose & Throat Consultants, PC Otolaryngology PastSince Oct 1, 2015 Accepting new patients
North Sound Emergency Medicine PC PastSince Feb 8, 2023 Accepting new patients
Northern Arizona Ear Nose and Throat PC Otolaryngology PastSince Sep 1, 2001 Accepting new patients
Valley ENT, PC Otolaryngology PastSince Feb 15, 2016 Accepting new patients
Otolaryngology Center of East Tennessee PC Otolaryngology PastSince Jan 1, 1999 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.