Individual provider Active NPI

Heidi Buckingham, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Oakwood, OH
National Provider Identifier
1295722635
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35.089021 Issued in OH
Practice address
400 Sugar Camp Cir Ste 205
Oakwood, OH 45409-1981
Phone
(937) 395-3656
Fax
(937) 395-3657
NPI assigned
Sep 30, 2005
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 024501 LA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35.089021 OH Primary

Addresses

Primary practice location

400 Sugar Camp Cir Ste 205
Oakwood, OH 45409-1981

Mailing address

3170 Kettering Blvd BLDG B
Moraine, OH 45439-1924
Phone (937) 991-3188

Other identifiers 1

IdentifierTypeStateIssuer
2754845MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL hbuckingham12917@direct.premierhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070926000609 OH Practitioner - Endocrinology 9638261506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024501LAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Aug 1, 2007 Accepting new patients
Mvhe Inc CurrentSince Aug 1, 2007 Accepting new patients
Mvhe Inc Current Accepting new patients
Mvhe Inc Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

1222 S Patterson Blvd
Ste 210
Dayton, OH 45402
Phone (937) 208-9090

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

400 Sugar Camp Cir
Ste 205
Oakwood, OH 45409
Phone (937) 395-3656

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1295722635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUGAR CAMP CIR STE 205",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454091981",
            "telephone_number": "937-395-3656",
            "fax_number": "937-395-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "HEIDI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "024501",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35.089021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2754845",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "hbuckingham12917@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "400 Sugar Camp Cir Ste 205",
            "city": "Oakwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454091981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakwood, OH

Sources for this page

Verify at the official NPI Registry.