Individual provider Active NPI

Carl S Heller, M.D.

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1942225347
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F8154 Issued in TX
Practice address
23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471
Phone
(281) 359-3223
Fax
(281) 359-2089
NPI assigned
Jul 13, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F8154 TX Primary

Addresses

Primary practice location

23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471

Mailing address

23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471
Phone (281) 359-3223

Other identifiers 1

IdentifierTypeStateIssuer
080031994OtherTXMEDICARE RAILROAD PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carl.heller.1@30157.direct.athenahealth.com Direct

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
I20100929001316 TX Practitioner - Family Practice 3274517792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vytalus Medical Group, PLLCGroup PAC ID 9830215748, 5 clinicians

Practice addresses (Care Compare)

23330 Hwy 59 N
Suite 300
Kingwood, TX 77339-4471
Phone (281) 319-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F8154TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Basaldua & Heller Family Practice Family Medicine Current Accepting new patients
Vytalus Medical Group, PLLC Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Texienne Physicians Medical Association PLLC CurrentSince Feb 1, 2025 Accepting new patients
Kingwood Family Medicine, PA Past Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
Texas Gulf Coast Medical System, Inc Family Medicine Past Accepting new patients

Locations

22751 Professional Dr
Ste 1000
Kingwood, TX 77339
Phone (281) 319-8300

22999 Highway 59 N
Ste 272
Kingwood, TX 77339
Phone (281) 359-3223

23330 Highway 59 N
Ste 300
Kingwood, TX 77339
Phone (281) 319-8300

9303 Pinecroft Dr
Ste 280
The Woodlands, TX 77380
Phone (832) 813-5259

Interoperability endpoints

  • Direct secure messaging: carl.heller.1@30157.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1942225347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HWY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 HWY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "CARL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F8154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "080031994",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carl.heller.1@30157.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23330 Hwy 59 N Ste 300",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773394471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.