DR. THEODORE GILL HART (M.D.) – Vascular Surgery Physician, NPI 1679987671
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
240 VASCULAR SURGERY in IL
Provider Addresses for DR. THEODORE GILL HART (M.D.)
3551 ROGER BROOKE DR
DEPT OF VASCULAR SURGERY
FORT SAM HOUSTON, TX 78234
Phone: (210) 916-1174
Type: Mailing
180 HARVESTER DR STE 110
BURR RIDGE, IL 605276686
Phone: (773) 753-1150
Type: Mailing
5841 S MARYLAND AVE # MC6040
CHICAGO, IL 606371447
Phone: (773) 753-1880
Fax: (773) 702-2140
Type: Location
4502 Medical Dr
San Antonio, TX 782294402
Phone: (210) 358-2074
Fax: (210) 358-4779
Type: Location
1100 Wilford Hall Loop Bldg 4554
JBSA-Lackland, TX 782365638
Phone: (210) 292-6255
Fax: (210) 292-7934
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2024-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240604001906 | I | Vascular Surgery | TX | TBD |
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.
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 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | TX | |
| - | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Vascular Surgery | TX | |
| Vascular Surgery, General Practice | TX |
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