Individual provider Active NPI

Robert B Heaton, Jr Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rockville, MD
National Provider Identifier
1003817164
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D0056337 Issued in MD
Practice address
9901 Medical Center Dr
Adventist Pathology Associates
Rockville, MD 20850-3357
Phone
(301) 279-6094
Fax
(301) 217-5209
NPI assigned
Aug 10, 2005
Last updated
Dec 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X D0056337 MD
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D0056337 MD Primary

Addresses

Primary practice location

9901 Medical Center Dr
Adventist Pathology Associates
Rockville, MD 20850-3357

Mailing address

9901 Medical Center Dr
Adventist Pathology Associates
Rockville, MD 20850-3357
Phone (301) 279-6094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051007000658 DC Practitioner - Pathology 2163447285 Reassigns benefits to 2 organizations
I20120315000197 MD Practitioner - Pathology 2163447285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Hospital-Based Providers, LLCGroup PAC ID 3173044815, 7 clinicians

Practice addresses (Care Compare)

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6000

9909 Medical Ctr Dr
Rockville, MD 20850-6361
Phone (240) 864-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pathology Associates, LLC CurrentSince Oct 1, 2006 Accepting new patients
Adventist Hospital-Based Providers, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 14, 2025 Accepting new patients
Diagnosti Pathology Services, Inc Past Accepting new patients
Blackwell Physicians, LLC Past Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1003817164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "address_2": "ADVENTIST PATHOLOGY ASSOCIATES",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "301-279-6094",
            "fax_number": "301-217-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "address_2": "ADVENTIST PATHOLOGY ASSOCIATES",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "301-279-6094",
            "fax_number": "301-217-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON, JR",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MD",
            "license": "D0056337",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0056337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.