Active NPI
Robert Samuel Heidt Jr., MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Cincinnati, OH
National Provider Identifier
1275532327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 35.041019
- Practice address
- 7575 5 Mile Rd
Cincinnati, OH 45230-4346 - Phone
- (513) 232-6677
- Fax
- (513) 232-2522
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35041019 | OH | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 35.041019 | OH | Primary |
Addresses
Primary practice location
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Mailing address
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 232-6677
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000004446 | Other | OH | ANTHEM |
| 0481796 | Medicaid | OH | |
| 0920337 | Other | OH | UNITED HEALTHCARE |
| 1903783001 | Other | OH | CIGNA |
| 200011150 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35041019 | OH | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1275532327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 5 MILE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304346",
"telephone_number": "513-232-6677",
"fax_number": "513-232-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 5 MILE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304346",
"telephone_number": "513-232-6677",
"fax_number": "513-232-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDT",
"first_name": "ROBERT",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35041019",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "35.041019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000004446",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0481796",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0920337",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1903783001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200011150",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.