DR. HEIDI DANIELLE TOMLINSON M.D. NPI 1003011297
Pediatrics in Fort Worth, TX
About DR. HEIDI DANIELLE TOMLINSON M.D.
Heidi Tomlinson is a pediatrician established in Fort Worth, Texas and her medical specialization is Pediatrics. The NPI number of Heidi Tomlinson is 1003011297 and was assigned on June 2007. The practitioner's primary taxonomy code is 208000000X with license number N4391 (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.
| NPI | 1003011297 |
| Provider Name | DR. HEIDI DANIELLE TOMLINSON M.D. |
| Provider Location Address | 1301 PENNSYLVANIA AVE DEPARTMENT OF NEONATOLOGY FORT WORTH, TX 76104 |
| Provider Mailing Address | 1301 PENNSYLVANIA AVE DEPARTMENT OF NEONATOLOGY FORT WORTH, TX 76104 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-18-2007 |
| Last Update Date | 04-20-2015 |
A pediatrician like Dr. Heidi Danielle Tomlinson M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Heidi Tomlinson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
Heidi Tomlinson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
Primary Taxonomy
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | N4391 |
| License State | TX |
| Taxonomy Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
DR. HEIDI DANIELLE TOMLINSON M.D.
1301 PENNSYLVANIA AVE
DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX
ZIP 76104
Phone: (817) 250-2892
Mailing Address
DR. HEIDI DANIELLE TOMLINSON M.D.
1301 PENNSYLVANIA AVE
DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX
ZIP 76104
Phone: (817) 250-2892
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | N4391 | TX | No | |
Taxonomy Description: hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 211980201 | MEDICAID (05) | TX |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 1 | 2 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 2 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 2 + 2 + 1 + 8 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1003011297 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912904061 | DR. MARY FRANCES ABRAHAM LYNCH M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1301 PENNSYLVANIA AVE NEONATOLOGY OFFICES, PEDIATRIX MEDICAL GROUP OF TEXAS FORT WORTH, TX 76104 (817) 250-2892 |
| 1417933300 | MRS. KATHERINE ANNE MARX CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1457338659 | DR. JOSEPH G. CAERO M.D. Individual | Anesthesiology | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1639156821 | MS. HEATHER SLOANE TOLBERT CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1609853894 | MS. CONSTANCE ANN HAHN CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1053398248 | MS. KARLA JO KINTZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1780661983 | MS. SHARON L NEBEN CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1952388159 | MS. SANDRA SHELTON SOLOMON CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1588641781 | MR. DAVID LILE STULL CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1669459897 | MR. GREGORY SCOTT PATE CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1487631610 | MR. DAVID JULIAN GOMEZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1013994110 | MS. PATRICIA L. GILLUM CRNA Individual | Nurse Anesthetist, Certified Registered | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-3680 |
| 1710949532 | MRS. KAREN L SADLER RN, NNP-BC Individual | Nurse Practitioner (Neonatal, Critical Care) | 1301 PENNSYLVANIA AVE C/O NEONATOLOGY FORT WORTH, TX 76104 (817) 882-2892 |
| 1033171764 | RICHARD TURNER Individual | Pediatrics | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 250-2890 |
| 1013971084 | ALLYSON CLAIRE MURRAY MSN, RNC, NNP Individual | Nurse Practitioner (Neonatal) | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-2000 |
| 1417912940 | MRS. MICHELLE HAFLEY LANSFORD NNP Individual | Nurse Practitioner (Neonatal, Critical Care) | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-2892 |
| 1932164316 | DR. RANDALL LEE GRUBBS M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1301 PENNSYLVANIA AVE OFFICE OF NEONATOLOGY FORT WORTH, TX 76104 (817) 882-2892 |
| 1639134018 | MISS KATHERINE NOELLE WAGNER RNC, MSN, NNP Individual | Nurse Practitioner (Neonatal) | 1301 PENNSYLVANIA AVE NEONATOLOGY OFFICE FORT WORTH, TX 76104 (817) 250-2892 |
| 1770548083 | MRS. MICHELLE MITCHELL SMITH RNC NNP Individual | Nurse Practitioner (Neonatal) | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-2892 |
| 1730144924 | DR. MICHAEL JOHN STEVENER M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1301 PENNSYLVANIA AVE FORT WORTH, TX 76104 (817) 882-2892 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Dr. Heidi Danielle Tomlinson M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.