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Individual provider Active NPI

Brad E Heithoff, MD

  • Family Medicine Physician
  • West Branch, IA
National Provider Identifier
1437137239
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-35993 Issued in IA
Practice address
206 Cookson Dr
West Branch, IA 52358-9632
Phone
(319) 643-2516
Fax
(319) 643-5720
NPI assigned
Jan 3, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-35993 IA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20050725000320 IA Practitioner - Family Practice 6406838424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Family Medicine CurrentSince Jan 31, 2024 Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
State University of Iowa Past Accepting new patients
Memorial Hospital of South Bend Past Accepting new patients

Locations

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-2633

200 Hawkins Dr
#H
Iowa City, IA 52242

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

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

  • Direct secure messaging: bradheithoff@mic.allscriptsdirect.net

Organizations & group practices 6

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1437137239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-643-2516",
            "fax_number": "319-643-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 COOKSON DR",
            "city": "WEST BRANCH",
            "state": "IA",
            "postal_code": "523589632",
            "telephone_number": "319-643-2516",
            "fax_number": "319-643-5720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 N 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522453645",
            "country_code": "US",
            "telephone_number": "319-351-6852",
            "fax_number": "319-351-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEITHOFF",
        "first_name": "BRAD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-35993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, IA

Sources for this page

Verify at the official NPI Registry.