THOMAS HEFLIN
NPI 1568720332
Emergency Medicine in Oakland, CA
About Thomas Heflin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS HEFLIN (NPI 1568720332) is an individual emergency medicine provider in Oakland, California, licensed in California (A134809) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas Heflin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Thomas Heflin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Monterey, CA 93940
- Reassigned Medicare billing, California enrollment
- 245 clinicians in this Medicare group
Monterey, CA 93940
- Reassigned Medicare billing, California enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
OAKLAND, CA 94602
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 Thomas Heflin's NPI number?
The NPI number for Thomas Heflin is 1568720332. It was assigned to this individual provider in the NPPES registry on April 30, 2012.
Where is Thomas Heflin located?
Thomas Heflin practices at 1411 E 31st St, Oakland, CA 94602. The listed phone number is (510) 437-4800.
What is Thomas Heflin's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Thomas Heflin enrolled in Medicare?
Yes. Thomas Heflin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Thomas Heflin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Heflin reassigns Medicare benefits to 4 organizations: Carbon Health Medical Group Of California PC (Berkeley, CA), Solano Gateway Medical Group Inc (Fairfield, CA), Community Hospital Of The Monterey Peninsula (Monterey, CA) and Monterey Bay Observation Medicine (Monterey, CA). Each 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 Thomas Heflin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thomas Heflin was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Thomas Heflin · NPI 1568720332
Emergency Medicine physician in Oakland, California. Individual provider, active in the CMS NPPES registry since April 30, 2012.
## Identity
- **NPI:** 1568720332 (Entity type: Individual)
- **Enumerated:** April 30, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A134809 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1411 E 31ST ST, Oakland, CA 94602-1018
- **Phone:** (510) 437-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Carbon Health Medical Group Of California PC (NPI 1417294232, Berkeley, CA); Solano Gateway Medical Group Inc (NPI 1952344293, Fairfield, CA); Community Hospital Of The Monterey Peninsula (NPI 1225285810, Monterey, CA); Monterey Bay Observation Medicine (NPI 1205225505, Monterey, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1568720332) · Data from the CMS NPPES public registry.