Active NPI
Roland Heidenhofer, M.D.
- Emergency Medicine Physician
- San Angelo, TX
National Provider Identifier
1386600831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J5782
- Practice address
- 120 E Harris Ave
San Angelo, TX 76903-5904 - Phone
- (325) 657-5222
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J5782 | TX | Primary |
Addresses
Primary practice location
120 E Harris Ave
San Angelo, TX 76903-5904
Mailing address
PO Box 143333
Irving, TX 75014-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S0863 | Other | TX | BCBS |
| 8V7083 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5782 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ector County Hospital District | Past | Accepting new patients | |
| Amarillo Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Midland Emergency Management PLLC | Emergency Medicine | Past | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Past | Accepting new patients |
| Ector County Hospital District | Past | Accepting new patients | |
| San Angelo Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Chandor Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- rheidenhofer@direct.uspi.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Amarillo, TX
- NPI 1265473912
-
- Emergency Medicine Physician
- Weatherford, TX
- NPI 1780872796
-
- Urgent Care Clinic/Center
- Odessa, TX
- NPI 1366680555
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
-
- Emergency Medicine Physician
- Midland, TX
- NPI 1801889993
-
- Emergency Medicine Physician
- San Angelo, TX
- NPI 1134177975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1386600831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 143333",
"city": "IRVING",
"state": "TX",
"postal_code": "750143333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E HARRIS AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035904",
"telephone_number": "325-657-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDENHOFER",
"first_name": "ROLAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J5782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8S0863",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8V7083",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.