Individual provider Active NPI

Mark E Heinsohn, MD

  • Internal Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1457338014
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24450 Issued in TN
Practice address
605 Glenwood Dr
Suite 404
Chattanooga, TN 37404-1108
Phone
(423) 629-7220
Fax
(423) 629-4091
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24450 TN Primary

Addresses

Primary practice location

605 Glenwood Dr
Suite 404
Chattanooga, TN 37404-1108

Mailing address

605 Glenwood Dr
Suite 404
Chattanooga, TN 37404-1108
Phone (423) 629-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000212 TN Practitioner - Internal Medicine 5496844821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Vanderbilt University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

605 Glenwood Dr
Suite 404
Chattanooga, TN 37404-1175
Phone (423) 629-7220

Hospital & facility affiliations

  • Commonspirit Health at Home - Chattanooga Home health agency, Chattanooga, TN, CCN 447506
  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24450TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Jan 1, 2003 Accepting new patients

Locations

605 Glenwood Dr
Ste 404
Chattanooga, TN 37404
Phone (423) 629-7220

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1457338014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR",
            "address_2": "SUITE 404",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041108",
            "telephone_number": "423-629-7220",
            "fax_number": "423-629-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR",
            "address_2": "SUITE 404",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041108",
            "telephone_number": "423-629-7220",
            "fax_number": "423-629-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSOHN",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "24450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.