Individual provider Active NPI

Kimberly Ann Neutze-Heaney, D.O.

  • Ophthalmology Physician
  • Havre de Grace, MD
National Provider Identifier
1194994053
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H0075167 Issued in MD
Practice address
2023 Pulaski Hwy
Havre de Grace, MD 21078-2137
Phone
(410) 939-6477
Fax
(410) 939-6555
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H0075167 MD Primary

Addresses

Primary practice location

2023 Pulaski Hwy
Havre de Grace, MD 21078-2137

Mailing address

2023 Pulaski Hwy
Havre de Grace, MD 21078-2137
Phone (410) 939-6477

Other identifiers 1

IdentifierTypeStateIssuer
336833500MedicaidMD

Other names 1

  • Ms. Kimberly Ann Neutze Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.neutze@direct.speyecare.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20140224001954 MD Practitioner - Ophthalmology 2264662931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0075167MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seidenberg Protzko Eye Associates CurrentSince Nov 18, 2013 Accepting new patients
Seidenberg Protzko Eye Associates Ophthalmology CurrentSince Nov 18, 2013 Accepting new patients
Katzen Medical Associates, PC Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients

Locations

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

520 Upper Chesapeake Dr
Ste 401
Bel Air, MD 21014
Phone (410) 569-5103

360 E Pulaski Hwy
Ste 1
Elkton, MD 21921
Phone (410) 620-3600

2023 Pulaski Hwy
Hvre de Grace, MD 21078
Phone (410) 939-6477

7106 Ridge Rd
Rosedale, MD 21237
Phone (410) 687-2300

1209 York Rd
Timonium, MD 21093
Phone (410) 821-9490

Interoperability endpoints

  • Direct secure messaging: kimberly.neutzeheaneydo.p1@direct.katzeneye.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1194994053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUTZE-HEANEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "H0075167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336833500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.neutze@direct.speyecare.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2023 Pulaski Hwy",
            "city": "Havre DE Grace",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210782137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NEUTZE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.