NPIMap

Organization Active NPI

Heart Center of North Texas, PA

Doing business as Heart Center of North Texas

  • Cardiovascular Disease Physician
  • Weatherford, TX
National Provider Identifier
1821202581
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART CENTER OF NORTH TEXAS, PA
Doing business as
Heart Center of North Texas
Practice address
920 Hilltop Dr
Weatherford, TX 76086-5488
Phone
(817) 334-2800
Fax
(817) 820-0094
NPI assigned
May 10, 2007
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HEART CENTER OF NORTH TEXAS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Sydney Madden
Title
Administrator
Phone
(817) 334-2800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Interventional Cardiology Physician 207RI0011X

Addresses

Primary practice location

920 Hilltop Dr
Weatherford, TX 76086-5488

Mailing address

1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800

Other identifiers 3

IdentifierTypeStateIssuer
109377503MedicaidTX
5930155OtherTXAETNA GROUP
00455KOtherTXBCBS GROUP

Other names 1

  • Heart Center of North Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040612000161 TX Part B Supplier - Clinic/Group Practice 5092798694 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
Practice locations: Fort Worth, TX; Weatherford, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1011916Heart Center of North Texas920 Hilltop Dr, Weatherford, TX 76086Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory
Part of
Heart Center of North Texa

Locations

1017 12th Ave
Fort Worth, TX 76104

920 Hilltop Dr
Weatherford, TX 76086
Phone (817) 613-9082

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1821202581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HILLTOP DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865488",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER OF NORTH TEXAS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART CENTER OF NORTH TEXAS, PA",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-334-2800"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109377503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "5930155",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "00455K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Center of North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.