Scott Richard Heelan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085006635 Issued in IL

Practice address

1252 American Way
Libertyville, IL 60048-3936

Phone

(224) 424-4624

NPI assigned

Jul 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.69 of 100Reported as group

Quality

82.35

Promoting interoperability

98

Improvement activities

40

Cost

74.95

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: scott.heelan.1@13573.direct.athenahealth.com

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.

• App of Illinois Ed PLLC

  • Emergency Medicine Physician
  • Waukegan, IL
  • NPI 1053860080
  Medicare reassignment
• North Suburban Family Physicians SC

  • Clinic/Center
  • Libertyville, IL
  • NPI 1740635432
  Medicare reassignment
• Marsh Dermatology, SC

  • MOHS-Micrographic Surgery Physician
  • Libertyville, IL
  • NPI 1932388865
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1194201947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 FRANKLIN CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600316307",
            "telephone_number": "847-714-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 AMERICAN WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483936",
            "telephone_number": "224-424-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEELAN",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Minds BH LLC
• Hearing Associates PC
• Hearing Professionals of America LLC
• Heart Rhythm Management of Lake County
• Heartcare Cardiovascular Specialists, SC
• Alan Heigert
• Patricia Gail Heigert, L.C.S.W
• Meagan Ruth Heilman, DDS
• Marvin Harold Heimlich, O.D.
• Helena Lee, Ma, LCPC, LLC

• Physician Assistant in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.

Verify at the official NPI Registry.