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TYLER RAY HEIMDAL MD
NPI 1104447143
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Fort Worth, TX

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
1651 W ROSEDALE ST STE 200, FORT WORTH, TX 76104(817) 335-4316 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Aug 20, 2026 (2 updates tracked since 2026).

About Tyler Ray Heimdal Md NPPES

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

TYLER RAY HEIMDAL MD (NPI 1104447143) is an individual orthopaedic surgery of the spine provider in Fort Worth, Texas, licensed in Texas (W3270) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2020).

NPPES Registry Identity

NPI1104447143
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameTYLER RAY HEIMDALCredential: MD
Location Address1651 W ROSEDALE ST STE 200Fort Worth, TX 76104-7437
Mailing AddressPo Box 961205Fort Worth, TX 76161-0205 · (817) 335-4316
Phone(817) 335-4316
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2020
Enumeration DateApril 30, 2020
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1104447143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TX · W3270
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1651 W ROSEDALE ST STE 200, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Ray Heimdal 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 ID6305268590
PECOS Enrollment IDI20260813001350
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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Heimdal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Care, P.L.L.C.
0.3 mi
Orthopaedic Surgery
1300 W. ROSEDALE, SUITE B
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1700952686 (817) 921-3461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

GRACE REYNOLDS MD
Orthopaedic Surgery (Sports Medicine)
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
DR. DEREC STANISLAV DO
Orthopaedic Surgery
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
ABIGAIL NICOLE LUEDKE PA-C
Physician Assistant
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
ANDREW M LEE M.D.
Orthopaedic Surgery
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
KATELYN MANUEL APRN, FNP-C
Nurse Practitioner
1651 W ROSEDALE ST STE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316

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 Tyler Heimdal's NPI number?

The NPI number for Tyler Heimdal is 1104447143. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Tyler Heimdal located?

Tyler Heimdal practices at 1651 W Rosedale St Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 335-4316.

What is Tyler Heimdal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Tyler Heimdal enrolled in Medicare?

Yes. Tyler Heimdal 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.

Which organization bills Medicare for Tyler Heimdal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Heimdal reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Heimdal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Heimdal accept?

Health plans from Blue Cross and Blue Shield of Texas list Tyler Heimdal 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.

When was this NPI record last updated?

The NPPES record for Tyler Heimdal was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.