Active NPI
Debra L. Heidgen, M.D.
- Pediatrics Physician
- Leavenworth, KS
National Provider Identifier
1174589691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04-18860
- Practice address
- 1001 6TH Ave Ste 210
Leavenworth, KS 66048-3248 - Phone
- (913) 682-3920
- Fax
- (913) 682-6239
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-18860 | KS | Primary |
Addresses
Primary practice location
1001 6TH Ave Ste 210
Leavenworth, KS 66048-3248
Mailing address
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 599-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-18860 | KS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Past | Accepting new patients |
Locations
21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111
1001 6th Ave
Ste 210
Leavenworth, KS 66048
Phone (913) 682-2424
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, KS
- NPI 1861587511
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
-
- Federally Qualified Health Center (FQHC)
- Riverside, MO
- NPI 1568557205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1174589691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641302807",
"telephone_number": "816-599-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 6TH AVE STE 210",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660483248",
"telephone_number": "913-682-3920",
"fax_number": "913-682-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDGEN",
"first_name": "DEBRA",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-18860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.