Active NPI
Alison C Heidt, MD
- Surgery Physician
- Bloomington, IN
National Provider Identifier
1437313764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01074377A
- Practice address
- 2920 S McIntire Dr Ste 103
Bloomington, IN 47403-4213 - Phone
- (812) 353-2870
- Fax
- (812) 353-2881
- NPI assigned
- Jul 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01074377A | IN | Primary |
Addresses
Primary practice location
2920 S McIntire Dr Ste 103
Bloomington, IN 47403-4213
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
421 W 1st St
Bloomington, IN 47403-2403
Phone (812) 332-3531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201248460 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aheidt@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2920 S McIntire Dr
103 Indiana University So in Phy Inc
Bloomington, IN 47403-4213
Phone (888) 484-3258
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 44 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of the West, P.C. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
Interoperability endpoints
- aheidt@direct.iuhealth.org
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1437313764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 S MCINTIRE DR STE 103",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034213",
"telephone_number": "812-353-2870",
"fax_number": "812-353-2881"
}
],
"practiceLocations": [
{
"address_1": "421 W 1st St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474032403",
"country_code": "US",
"telephone_number": "812-332-3531",
"fax_number": "812-332-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIDT",
"first_name": "ALISON",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01074377A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201248460",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aheidt@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2920 S McIntire Dr Ste 103",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474034213",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.