Individual provider Active NPI

Heather Siedenburg

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1144540964
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
274494 Issued in NY
Practice address
1 St Avenue and E 16TH Street
Station Medical Center
New York, NY 10003-1012
Phone
(212) 420-2377
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 274494 NY Primary

Addresses

Primary practice location

1 St Avenue and E 16TH Street
Station Medical Center
New York, NY 10003-1012

Mailing address

472 Carroll St
Station Medical Center
Brooklyn, NY 11215-1012

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160602002145 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 0547550519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Altoona Regional Health Services, Inc.Group PAC ID 5395659312, 191 clinicians

Practice addresses (Care Compare)

1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

Merit-based Incentive Payment System (MIPS)

Final score
96.06 of 100Reported as group
Quality
85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Pulmonary Disease CurrentSince Aug 16, 2016 Accepting new patients
Pittsburgh Critical Care Associates, Inc CurrentSince Jul 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Pulmonary Disease CurrentSince Jul 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 16, 2016 Accepting new patients
Upmc Altoona Past Accepting new patients

Locations

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.com

Organizations & group practices 7

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.

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1144540964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 CARROLL ST",
            "address_2": "STATION MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ST AVENUE AND E 16TH STREET",
            "address_2": "STATION MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031012",
            "telephone_number": "212-420-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDENBURG",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "274494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.