Craig Stephen Heinly, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

200300351 Issued in NC

Practice address

3008 Pickett Rd
Durham, NC 27705-6006

Phone

(919) 286-7903

Fax

(919) 286-7151

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Dermatology

Education

Duke University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triangle Dermatology Associates PAGroup PAC ID 0648247353, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.01 of 100Reported as group

Quality

73.64

Improvement activities

40

Cost

85.17

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.vincoli@direct.triangledermatology.nchie.net

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.

• Triangle Dermatology Associates PA

  • Dermatology Physician
  • Durham, NC
  • NPI 1871547364
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376596379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056006",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056006",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Broad St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054137",
            "country_code": "US",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINLY",
        "first_name": "CRAIG",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200300351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913375",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13375",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Michael Hein, MD
• Mark Dieter Heine, MD
• Rebecca R Heine
• Stacy Lynn Heinen
• Katharine Suzanne Heinkel, CRNA
• Jonathan Heinrich, PA-C
• John Ryan Heinrick, MD
• Madeline Heintschel, FNP-C
• Shannon Kathleen Heintz, CD, PCD, CLEC
• Elizabeth Melvin Heise, MS, CGC

• Dermatology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.