JONATHAN BARRY HEISTEIN M.D. NPI 1972590404

NPI Information

  • NPI: 1972590404
  • Provider Name: JONATHAN BARRY HEISTEIN, M.D.
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 8TH AVE
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 820-0000

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NPI Details

Jonathan Barry Heistein, M.D. is a plastic surgery in Fort Worth, TX with 30 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. Jonathan Barry Heistein, M.D. NPI is 1972590404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:1996

The provider's business location address is:

800 8TH AVE
FORT WORTH, TX
ZIP 76104-619
Phone: (817) 820-0000
Fax: (817) 820-0097

The NPI 1972590404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Mastectomy (HCPCS:NAN04)

The enumeration date for this NPI number is 9/30/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryL3330TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1865822OTHERTEXASUSA MANAGED CARE
200360FMEDICARE ID-TYPE UNSPECIFIEDTEXAS
30007JDOTHERTEXASBLUE CROSS/BLUE SHIELD
4158570718OTHERTEXASPACIFICARE
5H15512MEDICARE UPINTEXAS
6150089401MEDICAIDTEXAS
7108590OTHERTEXASAMERIGROUP
87569341OTHERTEXASAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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