Brad E Heithoff, MD
Individual provider Active NPI Family Medicine Physician · West Branch, IA
NPI 1437137239 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1437137239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD-35993 (IA)
- Practice address
- 206 Cookson Dr
West Branch, IA 52358-9632 - Phone
- (319) 643-2516
- Fax
- (319) 643-5720
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Progressive Rehabilitation Associates LLC
State University of Iowa
Practice addresses (Care Compare)
1130 S Scott Blvd
Iowa City, IA 52240-2909
Phone (319) 354-2429
206 Cookson Dr
West Branch, IA 52358-9632
Phone (319) 643-2516
Hospital & facility affiliations
- University of Iowa Health Care Medical Center Downtown Home Health
- Aveanna Healthcare
- Centerwell Home Health
- University of Iowa Hospital & Clinics
- University of Iowa Health Care Medical Center Down
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050725000320 | IA | Practitioner - Family Practice | 6406838424 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Family Medicine | Current |
Accepting new patients |
| Mercy Hospital, Iowa City, Iowa | Current | Accepting new patients | |
| Memorial Hospital of South Bend | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
| State University of Iowa | Past | Accepting new patients |
Locations
269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
206 Cookson Dr
West Branch, IA 52358
Phone (319) 643-2516
206 Cookson Dr
#U
West Branch, IA 52358
Phone (319) 643-2516
Interoperability endpoints
- bradheithoff@mic.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-35993 | IA | Yes |
Addresses
Primary practice location
206 Cookson Dr
West Branch, IA 52358-9632
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 643-2516
Other practice location 1
269 N 1st Ave
Iowa City, IA 52245-3645
Phone (319) 351-6852
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00244984 | Other | IA | RR MEDICARE |
| 0460980 | Medicaid | IA |
Other providers in West Branch, IA
- Summer Friis
- Sheila Gluesing
- Lana Godlewski
- Amy C Gosnell
- Kyle Christopher Haganman
- Kelli Ann Jensen
- Charles Michael King
- Annette Knebel
- Life Launch Health, LLC
- Mercy Services Iowa City, Inc.
All providers in West Branch, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.