NPIMap

Individual provider Active NPI

John Henry Heinzerling II, M.D.

  • Radiation Oncology Physician
  • Charlotte, NC
National Provider Identifier
1306045752
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2011-01884 Issued in NC
Practice address
1021 Morehead Medical Dr
Charlotte, NC 28204-2839
Phone
(704) 333-7376
Fax
(704) 333-3397
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2011-01884 NC Primary
Radiation Oncology Physician 2085R0001X MMD-34414-TL SC

Addresses

Primary practice location

1021 Morehead Medical Dr
Charlotte, NC 28204-2839

Mailing address

200 Queens Rd
Suite 400
Charlotte, NC 28204-3253
Phone (704) 333-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120718000207 NC Practitioner - Radiation Oncology 6709042823 Reassigns benefits to 2 organizations
I20130605000582 SC Practitioner - Radiation Oncology 6709042823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Radiation Oncology Group, P.a.Group PAC ID 1254233950, 52 clinicians

Practice addresses (Care Compare)

1005 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 283-6200

1400 Matthews Township Pkwy
Matthews, NC 28105-4655
Phone (704) 845-8800

170 Medical Park Rd
Suite 100
Mooresville, NC 28117-8541
Phone (704) 235-2580

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 333-7376

920 Church N St
Concord, NC 28025-2927
Phone (704) 333-7376

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-01884NCMDRadiation Oncology Physician
MMD-34414-TLSCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Jul 1, 2012 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jan 1, 2013 Accepting new patients
University Radiation Therapy Center CurrentSince Jan 1, 2013 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 1, 2012 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jan 1, 2013 Accepting new patients
Pineville Radiation Therapy Center, LLC Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

8310 University Exec Park Dr
Ste 500
Charlotte, NC 28262
Phone (704) 547-8762

1021 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-2272

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

228 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-5186

Interoperability endpoints

  • Direct secure messaging: jheinzerling136874@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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 10

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1306045752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043253",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOREHEAD MEDICAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042839",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZERLING",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2011-01884",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "MMD-34414-TL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.