Jason Pernell Heavens, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44336 Issued in AZ

Practice address

4450 S Rural Rd Ste A210
Tempe, AZ 85282-5587

Phone

(623) 444-2734

Fax

(623) 444-2784

NPI assigned

Dec 27, 2011

Last updated

Nov 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heavens Urgent Care LLCGroup PAC ID 7416204474, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.heavens.1@33363.direct.athenahealth.com

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.

• Heavens Urgent Care LLC

  dba Heavens Urgent Care

  • Urgent Care Clinic/Center
  • Apache Junction, AZ
  • NPI 1578065827

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Heavens Medical PLC

  • Clinic/Center
  • Tempe, AZ
  • NPI 1023381555
  Medicare reassignment Authorized official
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment NPD
• MD Homecare LLC

  • Health Service Psychologist
  • Phoenix, AZ
  • NPI 1720524333
  Medicare reassignment
• Emergency Medical Solutions, LTD.

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1245488519
  NPD (past)
• Umbrella Medical LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1861202335
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1063781797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S DELAWARE DR STE 1",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206512",
            "telephone_number": "623-444-2734",
            "fax_number": "623-444-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD STE A210",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825587",
            "telephone_number": "623-444-2734",
            "fax_number": "623-444-2784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 S Idaho Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851190006",
            "country_code": "US",
            "telephone_number": "480-444-1160",
            "fax_number": "480-935-1014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S DELAWARE DR",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206512",
            "country_code": "US",
            "telephone_number": "480-646-1001",
            "fax_number": "480-646-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAVENS",
        "first_name": "JASON",
        "middle_name": "PERNELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "44336",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "44336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Prime LLC
• Hannah Heath
• Morgan Ann Heathcote
• Heaven Care Residential LLC
• Heavens Medical PLC
• Sloane Deveareaux Heckel, CCC-SLP
• Jessie Ryan Hedeby, RBT
• Kelly Dean Hedlund
• Alyssa Heeman, SLP-CF
• Jennifer Sue Heeter, FNP

• Family Medicine Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.

Verify at the official NPI Registry.