Timothy Ryan Heider, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20001489 Issued in NC

Practice address

106 Alexander Bank Dr Ste 300
Mooresville, NC 28117-9624

Phone

(704) 660-4584

Fax

(704) 660-4967

NPI assigned

Jun 17, 2006

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

Other names 1

• T Ryan Heider Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

General Surgery

Education

University of North Carolina at Chapel Hill School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Charlotte-Mecklenburg Hospital AuthorityGroup PAC ID 2961310685, 594 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as apm

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theider537551@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: timothy.heider.1@4693.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.

• The Charlotte-Mecklenburg Hospital Authority

  dba Levine Cancer Institute

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC

  Medicare reassignment Care Compare group NPD
• Lake Norman Bariatrics

  • Clinic Pharmacy
  • Mooresville, NC
  • NPI 1124621198
  NPD Authorized official
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health General Surgery Lincoln

  • Surgery Physician
  • Lincolnton, NC
  • NPI 1699006858
  NPD
• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Pineville Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Charlotte, NC
  • NPI 1962987131
  NPD
• MH Blue Ridge Medical Center, LLLP

  dba Blue Ridge Medical Center - Yancey Campus

  • Rural Health Clinic/Center
  • Burnsville, NC
  • NPI 1881161347
  NPD (past)
• The Charlotte-Mecklenburg Hospital Authority

  dba Levine Cancer Institute

  • Hematology & Oncology Physician
  • Charlotte, NC
  • NPI 1033489687
  NPD (past)

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

• Atrium Health Hospitals Inc

  dba Atrium Health Lincoln

  • General Acute Care Hospital
  • Lincolnton, NC
  • NPI 1730055054
  Care Compare affiliation

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1245275072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ALEXANDER BANK DR STE 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179624",
            "telephone_number": "704-660-4584",
            "fax_number": "704-660-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ALEXANDER BANK DR STE 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179624",
            "telephone_number": "704-660-4584",
            "fax_number": "704-660-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDER",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "20001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.heider.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "106 Alexander Bank Dr Ste 300",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281179624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "T",
            "last_name": "HEIDER",
            "middle_name": "RYAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hearing AIDS for You, Inc.
• Heartbeat of Family Inc (Terrance Parks)
• Heartshine Behavioral Health, LLC
• Heather Little
• Cindy Hegenbart
• Aubreigh Heisler, LCSWA
• Edward J. Heller, PT
• Shirley Ann Henderson, DDS
• Thomas James Henderson, R.PH.
• Karen Hendricks, RPH

• Surgery Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.