Individual provider Active NPI

Heenashree I Patel, PA

  • Medical Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1053742429
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006886 Issued in MI
Practice address
743 E Beltline Ave NE
Grand Rapids, MI 49525-6045
Phone
(616) 456-9553
NPI assigned
Dec 10, 2013
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006886 MI Primary

Addresses

Primary practice location

743 E Beltline Ave NE
Grand Rapids, MI 49525-6045

Mailing address

743 E Beltline Ave NE
Grand Rapids, MI 49525-6045
Phone (616) 456-9553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722000307 NJ Practitioner - Physician Assistant 6103058177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
80.39
Promoting interoperability
97
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Cardiovascular Associates Current Accepting new patients
Hunterdon Medical Center CurrentSince Dec 4, 2017 Accepting new patients
Hunterdon Medical Center CurrentSince Dec 4, 2017 Accepting new patients
West Michigan Cardiology, PC PastSince May 28, 2023 Accepting new patients
Hunterdon Medical Center Past Accepting new patients

Locations

1100 Wescott Dr
#G3
Flemington, NJ 08822
Phone (908) 788-1710

1100 Wescott Dr
Ste G4
Flemington, NJ 08822
Phone (908) 788-6471

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

Interoperability endpoints

  • Direct secure messaging: heenashree.patel.p16@direct.hunterdon.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1053742429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256045",
            "telephone_number": "616-456-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256045",
            "telephone_number": "616-456-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HEENASHREE",
        "middle_name": "I",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.