Individual provider Active NPI

Robert Karl Heininger, D.O.

  • Occupational Medicine Physician
  • Willow Grove, PA
National Provider Identifier
1376806869
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
OS016780 Issued in PA
Practice address
2601 Easton Road
Willow Grove, PA 19090
Phone
(267) 212-2522
NPI assigned
Jun 19, 2012
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X OS016780 PA
Occupational Medicine Physician 2083X0100X OS016780 PA Primary

Addresses

Primary practice location

2601 Easton Road
Willow Grove, PA 19090

Mailing address

2601 Easton Road
Willow Grove, PA 19090
Phone (267) 212-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, OH, MI, IL, IN6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20190620000026 PA Practitioner - General PracticePractitioner - Preventive Medicine 4880928183 Reassigns benefits to 2 organizations
I20240123001781 NY Practitioner - General Practice 4880928183 Reassigns benefits to 1 organization
I20240326001416 OH Practitioner - Preventive Medicine 4880928183 Reassigns benefits to 1 organization
I20240404001208 MI Practitioner - Preventive Medicine 4880928183 Reassigns benefits to 2 organizations
I20240531002612 IL Practitioner - Preventive Medicine 4880928183 Reassigns benefits to 2 organizations
I20240903001693 IN Practitioner - Preventive Medicine 4880928183 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Jun 10, 2019 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince May 13, 2024 Accepting new patients
Public Health Management Corporation CurrentSince Jun 10, 2019 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Feb 20, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince May 1, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince May 1, 2024 Accepting new patients
Public Health Management Corporation Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Pic Indiana PC CurrentSince Aug 1, 2024 Accepting new patients

Locations (25 of 28)

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

800 W Fulton Market
Fl 12
Chicago, IL 60607

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

11475 N 2nd St
Machesney Pk, IL 61115
Phone (815) 543-5612

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

1113 W 7th St
Auburn, IN 46706
Phone (260) 909-5163

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1245 E Ireland Rd
South Bend, IN 46614
Phone (574) 312-7022

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

2232 Lyell Ave
Rochester, NY 14606
Phone (585) 417-4125

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1376806869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 EASTON ROAD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "267-212-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 EASTON ROAD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "267-212-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEININGER",
        "first_name": "ROBERT",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2023-07-05",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PA",
            "license": "OS016780",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "OS016780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.