Individual provider Active NPI

Peter J Wells, MD

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
National Provider Identifier
1790733103
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G9825 Issued in TX
Practice address
3600 Gaston Ave
Suite 851
Dallas, TX 75246-1800
Phone
(214) 826-6044
Fax
(214) 826-0848
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X G9825 TX Primary
Cardiovascular Disease Physician 207RC0000X G9825 TX

Addresses

Primary practice location

3600 Gaston Ave
Suite 851
Dallas, TX 75246-1800

Mailing address

6326 Tremont St
Dallas, TX 75214-4560
Phone (214) 924-0229

Other identifiers 2

IdentifierTypeStateIssuer
137735001MedicaidTX
137735003MedicaidTX

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
I20100923000551 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 4082747811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
79.73
Improvement activities
40
Cost
72.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G9825TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Heart Center, PLLC Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients

Locations

3600 Gaston Ave
Ste 851
Dallas, TX 75246
Phone (214) 826-6044

8144 Walnut Hill Ln
Ste 450
Dallas, TX 75231
Phone (214) 346-0602

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBGCBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital 5% Or Greater Direct Ownership Interest
General Partnership Interest
Jun 6, 2005
Jun 6, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1790733103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 TREMONT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144560",
            "telephone_number": "214-924-0229",
            "fax_number": "214-361-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 851",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-826-6044",
            "fax_number": "214-826-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "G9825",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G9825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137735001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137735003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.