Individual provider Active NPI

Victor A Heresniak, DO

  • Emergency Medicine Physician
  • Chester, PA
National Provider Identifier
1336194596
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB05928100 Issued in NJ
Practice address
1 Medical Center Blvd
Crozer Chester Medical Center
Chester, PA 19013-3902
Phone
(215) 447-2000
Fax
(610) 617-6280
NPI assigned
May 24, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C2-0013340 DE
Emergency Medicine Physician 207P00000X OS 008170 PA
Emergency Medicine Physician 207P00000X 25MB05928100 NJ Primary

Addresses

Primary practice location

1 Medical Center Blvd
Crozer Chester Medical Center
Chester, PA 19013-3902

Mailing address

PO Box 13973
Han Emergency Physicians
Philadelphia, PA 19101-3973
Phone (800) 666-2455

Other identifiers 2

IdentifierTypeStateIssuer
1427270MedicaidPA
5500702MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victor.a.heresniak@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140919002006 PA Practitioner - Emergency Medicine 5193624427 Reassigns benefits to 6 organizations
I20231106001523 DE Practitioner - Emergency Medicine 5193624427 Reassigns benefits to 3 organizations
I20260112002522 OK Practitioner - Emergency Medicine 5193624427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
Bayhealth Emergency Physicians LLCGroup PAC ID 7719240696, 80 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

640 S State St
Bayhealth Emergency Physicians KGH
Dover, DE 19901-3530
Phone (302) 744-6156

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0013340DEMDEmergency Medicine Physician
25MB05928100NJMDEmergency Medicine Physician
OS 008170PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Emergency Physicians LLC Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 8, 2019 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Feb 5, 2024 Accepting new patients
Upmc Bedford Memorial Emergency Medicine CurrentSince Jul 3, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 8, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 15, 2024 Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince May 25, 2019 Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince May 25, 2019 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Dec 7, 2025 Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Nov 15, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Southern Bank Emergency Physicians LLC Emergency Medicine CurrentSince Jul 24, 2014 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Emergency Medicine Current Accepting new patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Jan 13, 2024 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Feb 5, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 10, 2024 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Feb 5, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Upmc Bedford Memorial CurrentSince Jul 3, 2016 Accepting new patients
Christiana Care Health Services Inc Emergency Medicine CurrentSince Mar 10, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Saint Francis Hospital South LLC Past Accepting new patients
Eps Billing, LLC Past Accepting new patients
Health Access Network Emergency Medicine PastSince Jan 26, 2025 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

621 Middletown Odessa Rd
Middletown, DE 19709
Phone (302) 203-1300

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

Interoperability endpoints

  • Direct secure messaging: vheresniak287698@ahs.direct-ci.com
  • Direct secure messaging: vheresniak37802@direct.conemaugh.org
  • Direct secure messaging: victor.a.heresniak@upmcdirect.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1336194596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13973",
            "address_2": "HAN EMERGENCY PHYSICIANS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013973",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "CROZER CHESTER MEDICAL CENTER",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "215-447-2000",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERESNIAK",
        "first_name": "VICTOR",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-01-22",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C2-0013340",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS 008170",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB05928100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427270",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500702",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victor.a.heresniak@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.