Active NPI
Joel Thomas Heitman, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2019042401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164656559 | Medicaid | MI | |
| 7100328740 | Medicaid | KY | |
| 201255510 | Medicaid | IN | |
| Q012331 | Medicaid | TN | |
| 0112227 | Medicaid | OH |
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
Enrollment records 1
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
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
- Geisinger Medical Center
- Geisinger-Community Medical Center
- Geisinger Wyoming Valley Medical Center
- Mount Nittany Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01074617A | IN | MD | Diagnostic Radiology Physician |
| 47753 | KY | MD | Diagnostic Radiology Physician |
| 4301095035 | MI | MD | Diagnostic Radiology Physician |
| 2019042401 | MO | MD | Diagnostic Radiology Physician |
| 35125154 | OH | MD | Diagnostic Radiology Physician |
| 52155 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fall River-New Bedford Regional MRI, Limited Partnership | Current | Accepting new patients | |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hancock Health Gateway Services Inc | Current | Accepting new patients | |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jackson Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Shields Healthcare of Cambridge, Inc. | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cdi Geneva LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Pinnacle Healthcare LLC | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Direct Imaging LLC | Current | Accepting new patients | |
| Imaging Partners of Tulsa LLC | Diagnostic Radiology | Current | Accepting new patients |
| Shields MRI & Imaging Center of Cape Cod, LLC | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | 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.
-
- Internal Medicine Physician
- Muncy, PA
- NPI 1952076119
Diagnostic Radiology, TN
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1699700716
-
- Radiology Clinic/Center
- Fort Wayne, IN
- NPI 1285177980
-
dba Fall River-New Bedford Regional MRI Center
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Dartmouth, MA
- NPI 1134178346
-
dba Panama City Open MRI & Imaging
- Diagnostic Radiology Physician
- Panama City, FL
- NPI 1225096936
-
dba Pensacola Open MRI
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1235197930
-
- Family Medicine Physician
- Williamsport, PA
- NPI 1073075909
-
dba Geisinger Medical Clinic Lock Haven
- Family Medicine Physician
- Lock Haven, PA
- NPI 1144876137
Diagnostic Radiology
Hospital & facility affiliations 61
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Geisinger Cardiology Scranton, A service of GCMC
- Clinic/Center
- Scranton, PA
- NPI 1285032128
Hospital
-
dba Geisinger Community Medical Center
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
dba Geisinger Community Medical Center
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
dba Geisinger Medical Oncology Selinsgrove, a Service of GMC
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.