Individual provider Active NPI

Adam James Heisinger, D.O.

  • Orthopaedic Surgery Physician
  • Tigard, OR
National Provider Identifier
1144460296
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO187093 Issued in OR
Practice address
7300 SW Childs Rd Ste B
Tigard, OR 97224-7772
Phone
(503) 692-8700
NPI assigned
Mar 3, 2009
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 58-002720 OH
Orthopaedic Surgery Physician 207X00000X 0102202485 VA
Orthopaedic Surgery Physician 207X00000X DO187093 OR Primary

Addresses

Primary practice location

7300 SW Childs Rd Ste B
Tigard, OR 97224-7772

Mailing address

PO Box 3290
La Grande, OR 97850-7290
Phone (541) 963-8421

Other practice location 1

2952 Veterans Blvd SE
Massillon, OH 44646-9611
Phone (330) 832-8761

Other practice location 2

1501 Maple Ave Ste 200
Richmond, VA 23226-2553
Phone (804) 285-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20181004003085 OR Practitioner - Orthopedic Surgery 1658591862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Sports Medicine AssociatesGroup PAC ID 1052306776, 17 clinicians

Practice addresses (Care Compare)

29345 SW Town Ctr Loop E
Suite 211
Wilsonville, OR 97070-8486
Phone (503) 692-8700

7300 SW Childs Rd
Suite B
Tigard, OR 97224-7772
Phone (503) 692-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58-002720OHMDOrthopaedic Surgery Physician
DO187093ORMDOrthopaedic Surgery Physician
0102202485VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Outpatient Surgery Center LLC PastSince Feb 1, 2025 Accepting new patients

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, 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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1144460296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3290",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978507290",
            "telephone_number": "541-963-8421",
            "fax_number": "541-963-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD STE B",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247772",
            "telephone_number": "503-692-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2952 Veterans Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446469611",
            "country_code": "US",
            "telephone_number": "330-832-8761",
            "fax_number": "330-834-4786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Maple Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262553",
            "country_code": "US",
            "telephone_number": "804-285-2300",
            "fax_number": "804-288-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISINGER",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "58-002720",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0102202485",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "DO187093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.