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WICHITA FALLS HEART CLINIC PLLC
NPI 1215486691
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Wichita Falls, TX

Active since September 27, 2016
2101 9TH ST, WICHITA FALLS, TX 76301(940) 766-3190(940) 687-1617 Get Directions Write a Review

NPPES record last updated: June 12, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2017, Nov 22, 2016, Sep 27, 2016 (3 updates tracked since 2016).

About Wichita Falls Heart Clinic Pllc NPPES

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

WICHITA FALLS HEART CLINIC PLLC (NPI 1215486691) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Wichita Falls, Texas and active in the NPI registry since September 2016. The organization lists Andre Desire, Chairman, as its authorized official.

NPPES Registry Identity

NPI1215486691
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameWICHITA FALLS HEART CLINIC PLLC
Location Address2101 9TH STWichita Falls, TX 76301-4133
Mailing Address2101 9th StWichita Falls, TX 76301-4133 · (940) 766-3190 · Fax (940) 687-1617
Phone(940) 766-3190
Fax(940) 687-1617
Organization SubpartNo
Authorized OfficialAndre DesireChairman · (940) 687-5000
Enumeration DateSeptember 27, 2016
Last NPPES UpdateJune 12, 20173 updates tracked since enumeration
✔ NPI 1215486691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2101 9TH ST, Wichita Falls, TX 76301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wichita Falls Heart Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wichita Falls Heart Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Katelyn Girdley, APRN
Nurse Practitioner
NPI 1134897499
2101 9TH ST
Wichita Falls, TX 76301
(940) 766-3190
✔ PECOS✔ Accepts MedicareSame address
Jessica Berrett, ARNP
Nurse Practitioner
NPI 1366856064
1631 11TH ST
Wichita Falls, TX 76301
(940) 764-5950
✔ PECOS✔ Accepts Medicare0.6 mi
Shahab Akvan, M.D.
Thoracic Surgery
NPI 1861706079
1631 11TH ST
Wichita Falls, TX 76301
(940) 764-5400
✔ PECOS✔ Accepts Medicare0.6 mi
Patrick Roughneen, M.D.
Thoracic Surgery
NPI 1205847936
1631 11TH ST
Wichita Falls, TX 76301
(940) 764-5400
✔ PECOS✔ Accepts Medicare0.6 mi

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

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 Wichita Falls Heart Clinic PLLC's NPI number?

The NPI number for Wichita Falls Heart Clinic PLLC is 1215486691. It was assigned to this organization in the NPPES registry on September 27, 2016.

Where is Wichita Falls Heart Clinic PLLC located?

Wichita Falls Heart Clinic PLLC is located at 2101 9th St, Wichita Falls, TX 76301. The listed phone number is (940) 766-3190.

What is Wichita Falls Heart Clinic PLLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Wichita Falls Heart Clinic PLLC enrolled in Medicare?

Yes. Wichita Falls Heart Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wichita Falls Heart Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Wichita Falls Heart Clinic PLLC, in Nurse Practitioner and Thoracic Surgery. A 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 the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wichita Falls Heart Clinic PLLC was last updated on June 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.