Active NPI
William R Heller, D.O.
- Family Medicine Physician
- Aptos, CA
National Provider Identifier
1053446237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 020A38780
- Practice address
- 10098 Soquel Dr
Aptos, CA 95003-4926 - Phone
- (831) 688-3112
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 020A38780 | CA | Primary |
Addresses
Primary practice location
10098 Soquel Dr
Aptos, CA 95003-4926
Mailing address
10098 Soquel Dr
Aptos, CA 95003-4926
Phone (831) 688-3112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050808001169 | CA | Practitioner - General Practice | 3274562475 | Practice locations: Capitola, CA; Aptos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10098 Soquel Dr
Aptos, CA 95003-4926
Phone (831) 688-3112
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.24 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020A38780 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053446237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10098 SOQUEL DR",
"city": "APTOS",
"state": "CA",
"postal_code": "950034926",
"telephone_number": "831-688-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10098 SOQUEL DR",
"city": "APTOS",
"state": "CA",
"postal_code": "950034926",
"telephone_number": "831-688-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "020A38780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.