HEAL 360 PRIMARY CARE PLLC – General Practice Physician, NPI 1588022800
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEAL 360 PRIMARY CARE PLLC
940 W Stacy Rd Ste 110
Allen, TX 750135215
Phone: (214) 833-3100
Fax: (972) 992-2428
Type: Location
3320 Lavon Dr
Garland, TX 750402910
Phone: (972) 200-2595
Fax: (972) 218-0554
Type: Location
4013, 14th Street, Plano, Collin County, Texas, 75074, United States
401B
PLANO, TX 750747125
Phone: (972) 226-8900
Fax: (469) 861-8625
Type: Location
1313, Bravura Drive, Plano, Collin County, Texas, 75074, United States
PLANO, TX 750740107
Phone: (972) 226-8900
Fax: (469) 861-8625
Type: Mailing
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: 2016-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (311 days ago).
Enrollment records
1
Earliest due date
2025-07-31
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 |
|---|---|---|---|---|
| O20160419000582 | O | Clinic/Group Practice | TX | 2025-07-31 |
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 75013)
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