Active NPI
Koan J Heindel, DO
- Orthopaedic Surgery Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 34.012592
- Practice address
- 3800 Embassy Pkwy
Akron, OH 44333-8387 - Phone
- (330) 971-7571
- Fax
- (330) 255-5093
- NPI assigned
- Feb 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 00000000000000 | OH | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 34.012592 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | 34.012592 | OH | Primary |
Addresses
Primary practice location
3800 Embassy Pkwy
Akron, OH 44333-8387
Mailing address
PO Box 67070
Cuyahoga Falls, OH 44222-7070
Phone (330) 971-7571
Other practice location 1
5959 Big Tree Rd Ste 108
Orchard Park, NY 14127-2291
Phone (716) 204-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0448601 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Chicago College of Osteopathy, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Embassy Pkwy
Suite 150
Akron, OH 44333-8410
Phone (330) 971-7571
Hospital & facility affiliations
- Summa Western Reserve Hospital
- University Hospitals Ahuja Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304079 | NY | MD | Licensed Practical Nurse |
| 34.012592 | OH | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| 00000000000000 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopaedic Services, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| University Orthopaedic Services Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| WRH Physicians, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| WRH Physicians, Inc. | Past | Accepting new patients |
Locations
160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070
4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201
4225 Genesee St
Cheektowaga, NY 14225
Phone (716) 829-6123
5959 Big Tree Rd
Ste 108
Orchard Park, NY 14127
Phone (716) 810-7997
5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593
3800 Embassy Pkwy
Ste 150
Akron, OH 44333
Phone (330) 971-7571
231 Seasons Rd
Ste 200
Cuyahoga Falls, OH 44224
Phone (330) 650-5110
1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685
3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372
3800 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 971-7571
Interoperability endpoints
- kheindel126161@direct.metrohealth.org
- koan.heindel@wrhs.eclinicaldirectplus.com
- kheindel218938@ehrdirect.uhhospitals.org
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Cheektowaga, NY
- NPI 1578599866
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1528209962
-
- Urgent Care Clinic/Center
- Stow, OH
- NPI 1295067940
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beachwood, OH
- NPI 1609189604
-
- General Acute Care Hospital
- Cuyahoga Falls, OH
- NPI 1518104199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1477945004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67070",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442227070",
"telephone_number": "330-971-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 EMBASSY PKWY",
"city": "AKRON",
"state": "OH",
"postal_code": "443338387",
"telephone_number": "330-971-7571",
"fax_number": "330-255-5093"
}
],
"practiceLocations": [
{
"address_1": "5959 Big Tree Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141272291",
"country_code": "US",
"telephone_number": "716-204-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEINDEL",
"first_name": "KOAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-18",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "00000000000000",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "34.012592",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "34.012592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0448601",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.