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TIMOTHY R HEATH MD
NPI 1053315598
General Practice in Houston, TX

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5656 KELLEY ST, HOUSTON, TX 77026(713) 566-5100 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2023, Dec 10, 2020, Oct 24, 2019 and 2 more (5 updates tracked since 2016).

About Timothy R Heath Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY R HEATH MD (NPI 1053315598) is an individual general practice provider in Houston, Texas, licensed in Texas (H9984) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of University Of Texas Medical School At Houston (1990).

NPPES Registry Identity

NPI1053315598
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameTIMOTHY R HEATHCredential: MD
Location Address5656 KELLEY STHouston, TX 77026-1967
Mailing Address1133 John Freeman Blvd Ste Jjls80Houston, TX 77030-2809 · (713) 500-6500
Phone(713) 566-5100
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1990
Enumeration DateJune 13, 2005
Last NPPES UpdateOctober 19, 20235 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1053315598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · H9984
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License H9984 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License H9984 (TX)
5656 KELLEY ST, Houston, TX 77026
Open in Google Maps ↗

Other Identifiers 8

MedicaidTXB130797TX
Medicaid035070430TX
Other8BQ004TX · Bcbs
Other8CR923TX · Bcbs
Medicaid035070429TX
Medicaid035070439TX
Other035070440TX · Tmhp-cshcn
OtherP00828165TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy R Heath Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385626456
PECOS Enrollment IDI20040602001388
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services31 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
22 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%29 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW V PIPITONE FNP-C
Nurse Practitioner
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5100
MS. ELIZABETH ANN NEWKIRK P.A.
Physician Assistant
5656 KELLEY ST, ROOM IEC 93006
HOUSTON, TX 77026
Harris County (713) 566-5397
DR. GABRIEL MARCELO AISENBERG M.D.
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-4550
ESMAEIL PORSA M.D.
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5000
STEPHANIE D. DESANDRO P.A.
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5775
JESSICA LAUREN MARTIN PA-C
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 500-7885
SOUMYA PATNAIK MD
Internal Medicine (Cardiovascular Disease)
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5100
DONNA SHANKS D.O.
Family Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Harris County (713) 566-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Heath's NPI number?

The NPI number for Timothy Heath is 1053315598. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Timothy Heath located?

Timothy Heath practices at 5656 Kelley St, Houston, TX 77026. The listed phone number is (713) 566-5100.

What is Timothy Heath's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Timothy Heath enrolled in Medicare?

Yes. Timothy Heath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Heath accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Timothy Heath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Heath affiliated with any hospitals?

According to CMS data, Timothy Heath is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Timothy Heath was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.