Active NPI
Benjamin Joseph Heinzen, M.D.
- Internal Medicine Physician
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 55367-020
- Practice address
- 1855 S Koeller St
Oshkosh, WI 54902-6214 - Phone
- (920) 223-7100
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 55367-020 | WI | Primary |
Addresses
Primary practice location
1855 S Koeller St
Oshkosh, WI 54902-6214
Mailing address
1855 South Koeller St
Affinity Medical Group
Oshkosh, WI 54904
Phone (920) 223-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Main St
Neenah, WI 54956-2570
Phone (920) 727-4200
1420 Algoma St
New London, WI 54961-2104
Phone (920) 982-8300
1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
1855 S Koeller St
Oshkosh, WI 54902-6186
Phone (920) 223-7000
2700 W 9TH Ave
Oshkosh, WI 54904-7247
3329 N Richard St
Appleton, WI 54911-1063
Phone (920) 380-2715
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000
916 E Main St
Winneconne, WI 54986-9782
Phone (920) 582-1100
Hospital & facility affiliations
- Ascension at Home
- Compassus Neenah
- Ascension NE Wisconsin - St Elizabeth Campus
- Evergreen Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55367-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients |
Locations
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1855 S Koeller St
Oshkosh, WI 54902
Phone (920) 223-7010
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- Community Based Hospice Care Agency
- Neenah, WI
- NPI 1851908032
-
- Skilled Nursing Facility
- Oshkosh, WI
- NPI 1144213281
Nursing home
-
- Home Health Agency
- Neenah, WI
- NPI 1619914694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1083886733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 SOUTH KOELLER ST",
"address_2": "AFFINITY MEDICAL GROUP",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "54904",
"telephone_number": "920-223-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026214",
"telephone_number": "920-223-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZEN",
"first_name": "BENJAMIN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "55367-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.