Individual provider Active NPI

Ross August Heil, D.O.

  • Gastroenterology Physician
  • Goshen, IN
National Provider Identifier
1265669709
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
02004580A Issued in IN
Practice address
1615 Winsted Dr
Ste 1
Goshen, IN 46526-4696
Phone
(574) 537-1625
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 02004580A IN Primary

Addresses

Primary practice location

1615 Winsted Dr
Ste 1
Goshen, IN 46526-4696

Mailing address

1615 Winsted Dr
Ste 1
Goshen, IN 46526-4696

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ross.heildo.p1@direct.goshenphysicians.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address ross.heil@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150612000833 IN Practitioner - Gastroenterology 4284945502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

1615 Winsted Dr
Goshen, IN 46526-4673

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-2888

2824 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 535-1700

2832 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 537-0219

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ross.heil@goshenhealthdirect.com
  • Direct secure messaging: rheil296850@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1265669709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR",
            "address_2": "STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR",
            "address_2": "STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264696",
            "telephone_number": "574-537-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "ROSS",
        "middle_name": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "02004580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ross.heildo.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1615 Winsted Dr",
            "address_2": "Ste 1",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ross.heil@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1615 Winsted Dr",
            "address_2": "Ste 1",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.