Individual provider Active NPI

Clinton Christopher Haley, M.D.

  • Infectious Disease Physician
  • Dallas, TX
National Provider Identifier
1871733188
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
L6415 Issued in TX
Practice address
3409 Worth St
Suite 710
Dallas, TX 75246-2029
Phone
(214) 823-2533
Fax
(214) 824-8679
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X L6415 TX Primary

Addresses

Primary practice location

3409 Worth St
Suite 710
Dallas, TX 75246-2029

Mailing address

3409 Worth St
Suite 710
Dallas, TX 75246-2029
Phone (214) 823-2533

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
I20040702000902 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 0042297459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Texas Infectious Diseases ConsultantsGroup PAC ID 5092789842, 10 clinicians

Practice addresses (Care Compare)

3409 Worth St
Suite 710
Dallas, TX 75246-2060
Phone (214) 823-2533

Hospital & facility affiliations

  • Brema Healthcare Inc Home health agency, Dallas, TX, CCN 747205
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Center of Dallas Infectious Disease CurrentSince Sep 1, 2022 Accepting new patients
North Texas Infectious Diseases Consultants CurrentSince Jul 1, 2009 Accepting new patients
North Texas Infectious Disaeases Consultants, PA CurrentSince May 10, 2020 Accepting new patients

Locations

2701 Reagan St
#H
Dallas, TX 75219
Phone (214) 540-4492

3409 Worth St
Ste 710
Dallas, TX 75246
Phone (214) 823-2533

5750 Cedar Springs Rd
Dallas, TX 75235
Phone (214) 393-3640

2603 Inwood Rd
Dallas, TX 75235
Phone (214) 353-7610

Interoperability endpoints

  • Direct secure messaging: clinton.haley@ntidc.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60208

Organizations & group practices 3

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 3

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1871733188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST",
            "address_2": "SUITE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462029",
            "telephone_number": "214-823-2533",
            "fax_number": "214-824-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST",
            "address_2": "SUITE 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462029",
            "telephone_number": "214-823-2533",
            "fax_number": "214-824-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "CLINTON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "L6415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.