NPIMap

Individual provider Active NPI

Amilda Heckman, DO

  • Family Medicine Physician
  • Elizabeth, CO
National Provider Identifier
1124124441
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29599 Issued in CO
Practice address
34061 Forest Park Dr
Elizabeth, CO 80107-7842
Phone
(303) 646-4071
Fax
(303) 646-0908
NPI assigned
Sep 15, 2006
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29599 CO Primary

Addresses

Primary practice location

34061 Forest Park Dr
Elizabeth, CO 80107-7842

Mailing address

PO Box 1272
Elizabeth, CO 80107-1272
Phone (720) 318-7014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101001261 CO Practitioner - Family Practice 5092867341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth Family Health PCGroup PAC ID 4587555156, 2 clinicians

Practice addresses (Care Compare)

34061 Forest Park Dr
Elizabeth, CO 80107-7842
Phone (303) 646-4071

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as apm
Quality
80.87
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions18
Removal of nail tissue1-10
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29599COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Family Health PC Family Medicine CurrentSince Jul 13, 1995 Accepting new patients

Locations

34061 Forest Park Dr
Elizabeth, CO 80107
Phone (303) 646-4071

Interoperability endpoints

  • Direct secure messaging: amildaheckman@efh.allscriptsdirect.net

Organizations & group practices 1

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 8

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1124124441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801071272",
            "telephone_number": "720-318-7014",
            "fax_number": "303-646-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34061 FOREST PARK DR",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801077842",
            "telephone_number": "303-646-4071",
            "fax_number": "303-646-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "AMILDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, CO

Sources for this page

Verify at the official NPI Registry.