NPIMap

Individual provider Active NPI

Wendell Charles Heidinger, MD

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1326184607
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18680 Issued in OR
Practice address
1600 NW 6TH St
South Suite
Grants Pass, OR 97526-1094
Phone
(541) 507-1948
Fax
(541) 727-0382
NPI assigned
Jan 30, 2007
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD18680 OR Primary

Addresses

Primary practice location

1600 NW 6TH St
South Suite
Grants Pass, OR 97526-1094

Mailing address

1600 NW 6TH St
Grants Pass, OR 97526-1094
Phone (541) 507-1948

Other practice location 1

1801 Highway 99 N
Ste 2
Ashland, OR 97520-9152
Phone (541) 708-0256

Other practice location 2

1801 Highway 99 N
Ste 2
Ashland, OR 97520-9152
Phone (541) 708-0256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090119000025 OR Practitioner - Family PracticePractitioner - Interventional Pain ManagementPractitioner - Pain Management 1557424546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Interventional Pain Management, Pain Management
Education
Loma Linda University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimal Health of Southern Oregon, LLCGroup PAC ID 7416238241, 2 clinicians

Practice addresses (Care Compare)

1600 NW 6TH St
South Suite
Grants Pass, OR 97526-1094
Phone (541) 507-1948

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.98 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
83.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18680ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Fa Mily Practice Center PC Family Medicine CurrentSince Jul 24, 2022 Accepting new patients
Whole Person Care Family Practice Family Medicine PastSince Jan 1, 1990 Accepting new patients
Wendell C Heidinger MD Family Medicine PastSince Jan 1, 1990 Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients

Locations

2310 Mountain View Blvd
OreTech, OR 97601
Phone (541) 238-6432

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1326184607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261094",
            "telephone_number": "541-507-1948",
            "fax_number": "541-727-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH ST",
            "address_2": "SOUTH SUITE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261094",
            "telephone_number": "541-507-1948",
            "fax_number": "541-727-0382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 HIGHWAY 99 N",
            "address_2": "STE 2",
            "address_purpose": "LOCATION",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "country_code": "US",
            "telephone_number": "541-708-0256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 HIGHWAY 99 N",
            "address_2": "STE 2",
            "address_purpose": "LOCATION",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "country_code": "US",
            "telephone_number": "541-708-0256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDINGER",
        "first_name": "WENDELL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.