HERITAGE RHEUMATOLOGY & ARTHRITIS CARE - NPI 1053882530 - Internal Medicine in Colleyville, TX

Q: What is Heritage Rheumatology & Arthritis Care's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

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About Heritage Rheumatology & Arthritis Care NPPES

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

HERITAGE RHEUMATOLOGY & ARTHRITIS CARE (NPI 1053882530) is a healthcare organization registered as a rheumatology in Colleyville, Texas and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Dhiman Basu, President, as its authorized official.

NPPES Registry Identity

NPI1053882530

Entity TypeOrganization

Primary Taxonomy207RR0500X

Legal Business NameHERITAGE RHEUMATOLOGY & ARTHRITIS CARE

Location Address5009 HERITAGE AVEColleyville, TX 76034-5913

Mailing Address5009 Heritage AveColleyville, TX 76034-5913 · (817) 590-0880 · Fax (817) 590-0199

Phone(817) 590-0880

Fax(817) 590-0199

Organization SubpartNo

Authorized OfficialDhiman BasuPresident · (817) 590-0880

Enumeration DateDecember 10, 2018

✔ NPI 1053882530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

5009 HERITAGE AVE, Colleyville, TX 76034

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2086162

Heritage Rheumatology & Arthiritis Care · Colleyville, TX

Active · expires Oct 27, 2026

CLIA Number45D2086162

Laboratory TypePhysician Office

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorDhiman Basu

Laboratory Phone(817) 590-0880

Laboratory LocationHeritage Rheumatology & Arthiritis Care5009 Heritage Avenue, Colleyville, TX 76034

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DHIMAN BASU MD

Internal Medicine (Rheumatology)