Individual provider Active NPI

Benjamin Heller

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1346655099
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
007053 Issued in AZ
Practice address
515 W Buckeye Rd Ste 104
Phoenix, AZ 85003
Phone
(602) 257-8280
Fax
(602) 257-7007
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A13378 CA
Ophthalmology Physician 207W00000X 007053 AZ Primary

Addresses

Primary practice location

515 W Buckeye Rd Ste 104
Phoenix, AZ 85003

Mailing address

515 W Buckeye Rd Ste 104
Phoenix, AZ 85003-3699
Phone (602) 692-6908

Other practice location 1

3321 E Bell Rd # B-12
Phoenix, AZ 85032-2755
Phone (602) 257-8280 ext. 2

Other practice location 2

3125 N 32nd St Ste 100
Phoenix, AZ 85018-6282
Phone (602) 257-8280 ext. 3

Other identifiers 2

IdentifierTypeStateIssuer
007053OtherAZAZ LICENSE
20A13378OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180614000418 AZ Practitioner - OphthalmologyPractitioner - Family Practice 5395964969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Arizona PLLCGroup PAC ID 3870835044, 11 clinicians

Practice addresses (Care Compare)

10255 N 32ND St
Suite B
Phoenix, AZ 85028-3822
Phone (602) 257-8280

10255 N 32ND St B
Phoenix, AZ 85028-3822

2979 W Elliot Rd
Suite 1
Chandler, AZ 85224-1641
Phone (602) 257-8280

3321 E Bell Rd
B12
Phoenix, AZ 85032-2755
Phone (602) 257-8280

515 W Buckeye Rd
Suite 104
Phoenix, AZ 85003-3699
Phone (602) 257-8280

Merit-based Incentive Payment System (MIPS)

Final score
57.93 of 100Reported as group
Quality
70.27
Promoting interoperability
0
Improvement activities
40
Cost
72.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13378CAMDFamily Medicine Physician
007053AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgery Center of Arizona, LLP Ophthalmology Current Accepting new patients
Eye Doctors of Arizona PLLC Ophthalmology CurrentSince Mar 30, 2019 Accepting new patients
Warren H Heller MD Ophthalmology Past Accepting new patients

Locations

2979 W Elliot Rd
Ste 1
Chandler, AZ 85224
Phone (480) 898-3937

515 W Buckeye Rd
Ste 104
Phoenix, AZ 85003
Phone (602) 207-8196

515 W Buckeye Rd
Ste 103
Phoenix, AZ 85003

3321 E Bell Rd
#B12
Phoenix, AZ 85032
Phone 6022578280 ext. 2

3125 N 32nd St
Ste 100
Phoenix, AZ 85018
Phone (602) 257-8280

3321 E Bell Rd
Ste B12
Phoenix, AZ 85032
Phone (602) 257-8280

10255 N 32nd St
Ste A
Phoenix, AZ 85028
Phone (480) 666-9329

Interoperability endpoints

  • Direct secure messaging: bheller@eyedoctorarizona.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1346655099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850033699",
            "telephone_number": "602-692-6908",
            "fax_number": "602-257-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W BUCKEYE RD STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85003",
            "telephone_number": "602-257-8280",
            "fax_number": "602-257-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3321 E Bell Rd # B-12",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322755",
            "country_code": "US",
            "telephone_number": "602-257-8280 x2",
            "fax_number": "602-626-7389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3125 N 32nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850186282",
            "country_code": "US",
            "telephone_number": "602-257-8280 x3",
            "fax_number": "602-957-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13378",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "007053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "007053",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "20A13378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.