DAVID THEODORE HAYES (M.D.) – Pediatrics Physician, NPI 1043260656

DAVID THEODORE HAYES (M.D.) is a healthcare provider. based in Denison, Texas. specializing in PEDIATRIC MEDICINE, HOSPITALIST, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4469-320 (WI). The NPI Number for DAVID THEODORE HAYES (M.D.) is 1043260656

Main info

Male
41 Years Of Experience
Name
DAVID THEODORE HAYES (M.D.)
NPI
1043260656
Phone
(903) 416-6200
Address
5012 S US HIGHWAY 75 STE 300
Enumeration Date
12 May 2006
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
8527120732
Professional Enrollment ID
I20250520001835
Address ID
SD577017375RA353XXBLVD300

Contacts

Secure Messaging
dhayes565777@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness95
Years active:20State licenses:4Other names

640 PEDIATRIC MEDICINE in WI

Provider Addresses for DAVID THEODORE HAYES (M.D.)

  • 5012 S US HIGHWAY 75 STE 300

    ATTN BILLING

    DENISON, TX 750204589

    Phone: (903) 416-6200

    Type: Mailing

  • 707 14th St

    Baraboo, WI 539131539

    Phone: (608) 356-1400

    Fax: (608) 356-1367

    Type: Location

  • 11116 Medical Campus Rd

    Hagerstown, MD 217426710

    Phone: (301) 790-8804

    Type: Location

  • 812 Gorman Ave

    Elkins, WV 262413181

    Phone: (304) 637-3894

    Fax: (304) 630-3077

    Type: Location

  • 5012 S US HIGHWAY 75

    SUITE 300

    DENISON, TX 750204587

    Phone: (903) 416-6200

    Fax: (903) 416-6201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081223000263IPediatric MedicineTXTBD
I20241001001482IPediatric MedicineWITBD
I20250520001835IPediatric MedicineSDTBD
I20250813000080IHospitalistWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75020)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm DAVID THEODORE HAYES (M.D.)'s NPI?
Yes. DAVID THEODORE HAYES (M.D.) is listed with NPI 1043260656 in the public NPI dataset.
Can I rely on DAVID THEODORE HAYES (M.D.) being an active provider?
As of the registry snapshot, DAVID THEODORE HAYES (M.D.) is marked active.
What is DAVID THEODORE HAYES (M.D.)'s primary classification?
Pediatrics Physician is the headline specialty for DAVID THEODORE HAYES (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DAVID THEODORE HAYES (M.D.) serve?
DAVID THEODORE HAYES (M.D.)'s listing highlights Denison, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

Similar Providers

DR. BARBARA ANNE GRAHAM (M.D.)

Pediatrics Physician
5012 S US HIGHWAY 75 STE 300
NPI: 1013903061

DR. ELY R GORDON (DO, MPH)

Internal Medicine Physician
336 S. Jefferson St.
NPI: 1215992029

TIMOTHY D BRUMIT (MD)

Pediatrics Physician
5012 S US HIGHWAY 75
NPI: 1043269202

MARILYN M LANDRUM (MD)

Internal Medicine Physician
5012 S US HIGHWAY 75 STE 300
NPI: 1285683987

SHANNON WILLIAMS HAYES (M.D.)

Pediatrics Physician
5012 S US HIGHWAY 75 STE 300
NPI: 1710939079

TEXOMACARE

Family Medicine Physician
5012 US HWY 75 S,SUITE 300
NPI: 1740233592

BRYAN KALIL (M.D.)

Pediatrics Physician
5012 S US HIGHWAY 75 STE 300
NPI: 1154367720

DAVID EDWARD COBLE (M.D.)

Pediatrics Physician
900, North Armstrong Avenue, Denison, Grayson County, Texas, 75020, United States
NPI: 1871520791

JEANNINE HATT (MD)

Pediatrics Physician
5012 S US HIGHWAY 75
NPI: 1760414825