Individual provider Active NPI

Elliot A Heller, MD

  • Gastroenterology Physician
  • Pomona, NY
National Provider Identifier
1043383789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
116892 Issued in NY
Practice address
974 Route 45
Suite 2000
Pomona, NY 10970-3520
Phone
(845) 354-3700
Fax
(845) 354-5439
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 116892 NY Primary

Addresses

Primary practice location

974 Route 45
Suite 2000
Pomona, NY 10970-3520

Mailing address

974 Route 45
Suite 2000
Pomona, NY 10970-3520
Phone (845) 354-3700

Other identifiers 1

IdentifierTypeStateIssuer
00272486MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101013000944 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4284665779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

974 Route 45
Suite 2000
Pomona, NY 10970-3517
Phone (845) 354-3700

Merit-based Incentive Payment System (MIPS)

Final score
28.4 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy136
Upper gastrointestinal (GI) endoscopy for acid reflux72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116892NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Mar 20, 2024 Accepting new patients

Locations

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: elliot.heller@ddar.eclinicaldirectplus.com
  • Direct secure messaging: elliot.heller.1@24721.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGDBA/Endpoint/IBGDBA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043383789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45",
            "address_2": "SUITE 2000",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703520",
            "telephone_number": "845-354-3700",
            "fax_number": "845-354-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 ROUTE 45",
            "address_2": "SUITE 2000",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703520",
            "telephone_number": "845-354-3700",
            "fax_number": "845-354-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "ELLIOT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "116892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.