NPIMap

Individual provider Active NPI

Drew Courtney Heiple, M.D.

  • Nephrology Physician
  • Russellville, AR
National Provider Identifier
1376665646
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E6093 Issued in AR
Practice address
111 Skyline Dr
Russellville, AR 72801-3363
Phone
(479) 498-4661
Fax
(501) 321-0710
NPI assigned
Apr 6, 2007
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X E6093 AR Primary

Addresses

Primary practice location

111 Skyline Dr
Russellville, AR 72801-3363

Mailing address

115 Wrights St Ste C
Hot Springs, AR 71913-6240
Phone (501) 321-9803

Other practice location 1

115 Wrights St Ste B
Hot Springs, AR 71913-6240
Phone (501) 701-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20090624000319 AR Practitioner - NephrologyPractitioner - Internal Medicine 1153472618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Renal Group PAGroup PAC ID 8921274721, 15 clinicians

Practice addresses (Care Compare)

111 Skyline Dr
Russellville, AR 72801-3363
Phone (479) 498-4661

115 Wrights St
Suite C
Hot Springs, AR 71913-6240
Phone (501) 624-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6093ARMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Renal Group PA Nephrology CurrentSince Aug 29, 2016 Accepting new patients
California Renal Care Nephrology Past Accepting new patients

Locations

115 Wrights St
#B
Hot Springs National Park, AR 71913
Phone (501) 624-6000

115 Wrights St
#C
Hot Springs National Park, AR 71913
Phone (501) 321-9803

115 Wrights St
Ste B
Hot Springs National Park, AR 71913
Phone (501) 624-6000

111 Skyline Dr
Russellville, AR 72801
Phone (479) 498-4661

Interoperability endpoints

  • Direct secure messaging: drewheiple@arkneph.ssdirect.aprima.com

Organizations & group practices 4

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1376665646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WRIGHTS ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136240",
            "telephone_number": "501-321-9803",
            "fax_number": "501-321-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-498-4661",
            "fax_number": "501-321-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Wrights St Ste B",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136240",
            "country_code": "US",
            "telephone_number": "501-701-1950",
            "fax_number": "501-321-0710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIPLE",
        "first_name": "DREW",
        "middle_name": "COURTNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E6093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.