HOMEHEAL PA – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1003427196
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HOMEHEAL PA
2727 BOLTON BOONE DR STE 109
DESOTO, TX 751152019
Phone: (855) 955-2256
Fax: (817) 533-6015
Type: Mailing
PO BOX 678290
DALLAS, TX 752678290
Phone: (214) 286-6565
Fax: (817) 533-6015
Type: Mailing
559 E OVILLA RD
RED OAK, TX 751543505
Phone: (214) 286-6565
Fax: (817) 533-6015
Type: Location
701 Secretary Dr
Arlington, TX 760151623
Phone: (214) 286-6565
Fax: (817) 533-6015
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: 2023-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (129 days ago).
Enrollment records
2
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20200917002694 | O | Clinic/Group Practice | TX | 2026-01-31 |
| O20230605001881 | O | Physician - Internal Medicine | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 75115)
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