Active NPI
Joseph Dietrich Heyne, MD
- Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M9354
- Practice address
- 1250 8TH Avenue
Suite 120
Fort Worth, TX 76104-4156 - Phone
- (817) 923-6900
- Fax
- (817) 923-6903
- NPI assigned
- Jun 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M9354 | TX | Primary |
Addresses
Primary practice location
1250 8TH Avenue
Suite 120
Fort Worth, TX 76104-4156
Mailing address
PO Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204023002 | Other | TX | MEDICAID CSHCN |
| P00945947 | Other | TX | RAILROAD |
| 204023001 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- University of Texas Medical School at Houston, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 8TH Ave
Suite 120
Fort Worth, TX 76104-4156
Phone (817) 923-6900
500 S Henderson St
Suite 300
Fort Worth, TX 76104-2154
Phone (817) 413-1500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 29 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9354 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Surgery | Current | Accepting new patients |
| Texas Health Care, P.L.L.C. | Surgery | Current | Accepting new patients |
| Texas Oncology PA | Surgery | Current | Accepting new patients |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Surgery | Past | Accepting new patients |
Locations
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
1250 8th Ave
Ste 120
Fort Worth, TX 76104
Phone (817) 923-6900
500 S Henderson St
Ste 300
Ft Worth, TX 76104
Phone (817) 413-1500
2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
Interoperability endpoints
- joseph.heyne.p1@direct.thc.nextgenshare.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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Surgery Physician
- Fort Worth, TX
- NPI 1033275318
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1710146568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8400",
"fax_number": "817-250-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 8TH AVENUE",
"address_2": "SUITE 120",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044156",
"telephone_number": "817-923-6900",
"fax_number": "817-923-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYNE",
"first_name": "JOSEPH",
"middle_name": "DIETRICH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "M9354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID CSHCN",
"identifier": "204023002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00945947",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204023001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.