Active NPI
Heidi Buckingham, MD
- Endocrinology, Diabetes & Metabolism Physician
- Oakwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 35.089021
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2754845 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 024501 | LA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Current | Accepting new patients | |
| Mvhe Inc | Current | 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.
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- NPI 1659504785
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dba Christina G Waite MD & Associates Company
- Psychiatry Physician
- Beavercreek, OH
- NPI 1548213036
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.