Individual provider Active NPI

Kurt Edward Heiland, MD

  • Otolaryngology Physician
  • Scottsdale, AZ
National Provider Identifier
1124149620
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
24997 Issued in AZ
Practice address
8752 E Via de Commercio Ste 1
Scottsdale, AZ 85258-3396
Phone
(480) 684-1080
Fax
(480) 684-1080
NPI assigned
Apr 2, 2007
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 24997 AZ Primary

Addresses

Primary practice location

8752 E Via de Commercio Ste 1
Scottsdale, AZ 85258-3396

Mailing address

8752 E Via de Commercio Ste 1
Scottsdale, AZ 85258-3396
Phone (480) 684-1080

Other identifiers 1

IdentifierTypeStateIssuer
41881501MedicaidAZ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070525000079 AZ Practitioner - Otolaryngology 3678598786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arizona College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley ENT PCGroup PAC ID 8729149711, 70 clinicians

Practice addresses (Care Compare)

8752 E Via de Commercio
Suite 1
Scottsdale, AZ 85258-3396
Phone (480) 684-1080

9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
71.49
Promoting interoperability
100
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24997AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Ear Nose and Throat PC Otolaryngology PastSince Sep 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kurt.heiland@1028.chartlogic.direct-ci.com

Organizations & group practices 3

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 4

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1124149620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8752 E VIA DE COMMERCIO STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583396",
            "telephone_number": "480-684-1080",
            "fax_number": "480-684-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 E VIA DE COMMERCIO STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583396",
            "telephone_number": "480-684-1080",
            "fax_number": "480-684-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILAND",
        "first_name": "KURT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "24997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41881501",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.