Individual provider Active NPI

John Marcus Heim, D.O.

  • Orthopaedic Surgery Physician
  • Springdale, AR
National Provider Identifier
1063483824
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E5387 Issued in AR
Practice address
601 W Maple Ave
Suite 411
Springdale, AR 72764-5335
Phone
(479) 757-5354
NPI assigned
Jan 30, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E5387 AR Primary
Orthopaedic Surgery Physician 207X00000X R8G14 MO

Addresses

Primary practice location

601 W Maple Ave
Suite 411
Springdale, AR 72764-5335

Mailing address

601 W Maple Ave
Suite 411
Springdale, AR 72764-5335
Phone (479) 757-5354

Other identifiers 2

IdentifierTypeStateIssuer
167207003MedicaidAR
5H055C072OtherARMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.heim.1@2229.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080208000447 AR Practitioner - Orthopedic Surgery 1557306750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

601 W Maple Ave
Springdale, AR 72764-5374

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-8001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5387ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Aug 27, 2007 Accepting new patients
Northwest Physicians LLC CurrentSince Aug 27, 2007 Accepting new patients
Northwest Physicians, LLC Orthopaedic Surgery Past Accepting new patients
Orthopedic Specialists, PC Orthopaedic Surgery Past Accepting new patients
Aspire Internal Medicine, L.L.C. Past Accepting new patients

Locations

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

601 W Maple Ave
Ste 411
Springdale, AR 72764
Phone (479) 757-5354

601 W Maple Ave
Ste 505
Springdale, AR 72764
Phone (479) 757-3550

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/e108d9e2-8802-451c-b874-d1f2187c552f
  • Direct secure messaging: john.heim.1@2229.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1063483824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE",
            "address_2": "SUITE 411",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-757-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE",
            "address_2": "SUITE 411",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-757-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "JOHN",
        "middle_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E5387",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R8G14",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167207003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5H055C072",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.heim.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "601 W Maple Ave",
            "address_2": "Suite 411",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727645335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.