Individual provider Active NPI

Rafe M Heng, D.O., FACC

  • Cardiovascular Disease Physician
  • Maryville, IL
National Provider Identifier
1477560126
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036113077 Issued in IL
Practice address
6812 State Rte 162 Suite 202
Maryville, IL 62062
Phone
(618) 288-1748
Fax
(618) 288-1768
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036113077 IL Primary

Addresses

Primary practice location

6812 State Rte 162 Suite 202
Maryville, IL 62062

Mailing address

6812 State Rte 162 Suite 202
Maryville, IL 62062
Phone (618) 288-1748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070327000370 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082718325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

6812 State Route 162
Suite 211
Maryville, IL 62062-8563
Phone (618) 288-1748

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical Group, LLC Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
Mark Fedder, MD, PC CurrentSince Mar 1, 2015 Accepting new patients
Illinois Hospitalists, PC Past Accepting new patients
24 Ihim LLC PastSince Jul 25, 2019 Accepting new patients

Locations

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

6812 State Route 162
Ste 211
Maryville, IL 62062
Phone (618) 288-0346

6812 State Route 162
Ste 202
Maryville, IL 62062
Phone (618) 288-1748

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 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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1477560126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 STATE RTE 162 SUITE 202",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-1748",
            "fax_number": "618-288-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 STATE RTE 162 SUITE 202",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "62062",
            "telephone_number": "618-288-1748",
            "fax_number": "618-288-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENG",
        "first_name": "RAFE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O., FACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036113077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.