Active NPI
Susan Marie Heineck, M.D.
- Internal Medicine Physician
- Seguin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q7204
- Practice address
- 1215 E Court St
Seguin, TX 78155-5129 - Phone
- (830) 379-2411
- NPI assigned
- Aug 19, 2006
- Last updated
- Jan 19, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD23510 | OR | |
| Emergency Medicine Physician | 207P00000X | Q7204 | TX | |
| Emergency Medicine Physician | 207P00000X | MD2016-0139 | NM | |
| Emergency Medicine Physician | 207P00000X | MD.34932 | AL | |
| Internal Medicine Physician | 207R00000X | Q7204 | TX | Primary |
Addresses
Primary practice location
1215 E Court St
Seguin, TX 78155-5129
Mailing address
20108 Victoria Chase Rd
Lago Vista, TX 78645-6311
Phone (503) 507-8701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287063 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 92.78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.34932 | AL | MD | Emergency Medicine Physician |
| Q7204 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alteon Health New Mexico LLC | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of New Mexico - Clovis, LLC | Emergency Medicine | Current | Accepting new patients |
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Columbia Lutheran Charities | Family Medicine | Past | Accepting new patients |
| Asante Community Services LLC | Past | Accepting new patients | |
| Brazos Medical Associates | Family Medicine | Past | Accepting new patients |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000
5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1457636706
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1477031094
-
- Obstetrics & Gynecology Physician
- College Station, TX
- NPI 1790718419
Family Medicine
-
- Home Infusion Agency
- Medford, OR
- NPI 1497821052
-
dba Lower Columbia Hospice
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
Family Medicine
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1245345610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20108 VICTORIA CHASE RD",
"city": "LAGO VISTA",
"state": "TX",
"postal_code": "786456311",
"telephone_number": "503-507-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E COURT ST",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555129",
"telephone_number": "830-379-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINECK",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD23510",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q7204",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2016-0139",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.34932",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q7204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287063",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.