Individual provider Active NPI

Joel Thomas Heitman, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1164656559
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2019042401 Issued in MO
Practice address
615 S New Ballas Rd Dept of
Saint Louis, MO 63141-8221
Phone
(314) 251-6031
NPI assigned
May 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 52155 TN
Diagnostic Radiology Physician 2085R0202X 35125154 OH
Diagnostic Radiology Physician 2085R0202X 47753 KY
Diagnostic Radiology Physician 2085R0202X 4301095035 MI
Diagnostic Radiology Physician 2085R0202X 2019042401 MO Primary
Diagnostic Radiology Physician 2085R0202X 01074617A IN

Addresses

Primary practice location

615 S New Ballas Rd Dept of
Saint Louis, MO 63141-8221

Mailing address

150 Bertrand Dr
Franklin, TN 37064-8308
Phone (810) 964-1892

Other identifiers 5

IdentifierTypeStateIssuer
1164656559MedicaidMI
7100328740MedicaidKY
201255510MedicaidIN
Q012331MedicaidTN
0112227MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150112000416 TN Practitioner - Diagnostic Radiology 9638391121 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Nashville, TN 37205
Phone (570) 271-6144

732 Adkisson LN
Nashville, TN 37205-1241
Phone (570) 271-6144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074617AINMDDiagnostic Radiology Physician
47753KYMDDiagnostic Radiology Physician
4301095035MIMDDiagnostic Radiology Physician
2019042401MOMDDiagnostic Radiology Physician
35125154OHMDDiagnostic Radiology Physician
52155TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Fall River-New Bedford Regional MRI, Limited Partnership CurrentSince Jun 8, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Apr 6, 2026 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 27, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Jackson Radiology Associates PA Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 21, 2026 Accepting new patients
Shields Healthcare of Cambridge, Inc. CurrentSince Jun 8, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Cdi Geneva LLC Diagnostic Radiology CurrentSince Jul 1, 2026 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jun 1, 2026 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 21, 2026 Accepting new patients
Pinnacle Healthcare LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Direct Imaging LLC CurrentSince Dec 1, 2017 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Jun 8, 2026 Accepting new patients
Shields MRI & Imaging Center of Cape Cod, LLC CurrentSince Jun 8, 2026 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 16, 2024 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

9 Physicians Dr
Jackson, TN 38305
Phone (731) 661-0086

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

110 N 2nd St
#A
Pulaski, TN 38478
Phone (901) 233-7448

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 61

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 61

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1164656559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BERTRAND DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648308",
            "telephone_number": "810-964-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD DEPT OF",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITMAN",
        "first_name": "JOEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "52155",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35125154",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "47753",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301095035",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2019042401",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01074617A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164656559",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100328740",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201255510",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012331",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.