HEAL 360 URGENT CARE, LLC – Family Medicine Physician, NPI 1295165967
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEAL 360 URGENT CARE, LLC
3400 W FM 544 STE 650
WYLIE, TX 750989418
Phone: (972) 226-8900
Fax: (972) 218-0554
Type: Location
3320 Lavon Dr
Garland, TX 750402910
Phone: (972) 200-2595
Fax: (972) 218-0554
Type: Location
940 W Stacy Rd Ste 200
Allen, TX 750135214
Phone: (214) 547-0700
Fax: (972) 992-2428
Type: Location
1360 Star Ct Ste T1
Plano, TX 750747353
Phone: (972) 200-7402
Fax: (972) 218-0554
Type: Location
2806 W FM 544
WYLIE, TX 750987022
Phone: (972) 226-8900
Fax: (972) 218-0554
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: 2014-08-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (617 days ago).
Enrollment records
1
Earliest due date
2024-09-30
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 |
|---|---|---|---|---|
| O20140813000102 | O | Clinic/Group Practice | TX | 2024-09-30 |
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 75098)
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Reviews
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