Active NPI
Kimberly Ann Heller, MD
- Maternal & Fetal Medicine Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 250943
- Practice address
- 9 Livingston St
Suite 4N
Poughkeepsie, NY 12601-4719 - Phone
- (845) 431-6800
- Fax
- (845) 431-6821
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD043742L | PA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD043742L | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 250943 | NY | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 250943 | NY | Primary |
Addresses
Primary practice location
9 Livingston St
Suite 4N
Poughkeepsie, NY 12601-4719
Mailing address
1351 Route 55
Suite 200
Lagrangeville, NY 12540-5108
Phone (845) 475-9661
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20008306 | Other | PA | AMERIHEALTH MERCY-WMG |
| 0399570000 | Other | PA | AMERIHEALTH 65 PA |
| 544155 | Other | MD | CAREFIRST MD BCBS |
| 001185017 | Medicaid | PA | |
| 1512312 | Other | PA | GATEWAY-WMG |
| 4121547 | Other | PA | AETNA |
| 81786 | Other | PA | UNISON-WMG |
| 03068444 | Medicaid | NY | |
| 39734 | Other | PA | GEISINGER |
| 32649 | Other | PA | JOHNS HOPKINS |
| 577861 | Other | PA | HIGHMARK BLUE SHIELD |
| 01105402 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 346376 | Other | PA | MAMSI-WMG |
| 403727800 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Massachusetts Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Pine St
Poughkeepsie, NY 12601-3910
Phone (845) 483-0447
45 Reade PL
Poughkeepsie, NY 12601-3947
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250943 | NY | MD | Obstetrics & Gynecology Physician |
| MD043742L | PA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622
9 Livingston St
Ste 4N
Poughkeepsie, NY 12601
Phone (845) 431-6800
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
21 Reade Pl
Ste 1000
Poughkeepsie, NY 12601
Phone (845) 214-1821
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
Obstetrics & Gynecology
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1063426195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 ROUTE 55",
"address_2": "SUITE 200",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405108",
"telephone_number": "845-475-9661",
"fax_number": "845-475-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LIVINGSTON ST",
"address_2": "SUITE 4N",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014719",
"telephone_number": "845-431-6800",
"fax_number": "845-431-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD043742L",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "PA",
"license": "MD043742L",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "250943",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NY",
"license": "250943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20008306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA",
"identifier": "0399570000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "544155",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001185017",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1512312",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4121547",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "81786",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03068444",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "39734",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "32649",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "577861",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "01105402",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "346376",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403727800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.