Active NPI
Mark Patrick Heilala, MD
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301088205
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 361-5828
- NPI assigned
- Jun 4, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301088205 | MI | Primary |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
5235 Echo Rd
Bloomfield Hills, MI 48302-2710
Phone (616) 363-7272
Hospital & facility affiliations
- University Hospitals Ahuja Medical Center
- University Hospitals - Elyria Medical Center
- Lake Health
- Uh Cleveland Medical Center
- Uh St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 91.34
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Advanced Radiology Services PC | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Family Medicine | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Lumina Imaging | Diagnostic Radiology | Current | Accepting new patients |
Locations
3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
11100 Euclid Ave
Cleveland Heights, OH 44106
8401 Mentor Ave
Ste B
Mentor, OH 44060
Phone (440) 592-6095
Interoperability endpoints
- mheilala1131835@direct.hfhs.org
- mheilala317889@direct.metrohealth.org
- mheilala570148@ehrdirect.uhhospitals.org
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1740283324
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Mentor, OH
- NPI 1326645813
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- General Acute Care Hospital
- Willoughby, OH
- NPI 1972689172
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
- General Acute Care Hospital
- Westlake, OH
- NPI 1841264868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1104028026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILALA",
"first_name": "MARK",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301088205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.