Individual provider Active NPI

Koan J Heindel, DO

  • Orthopaedic Surgery Physician
  • Akron, OH
National Provider Identifier
1477945004
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34.012592 Issued in OH
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

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0448601MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201111001143 NY Practitioner - Orthopedic Surgery 0042506024 Reassigns benefits to 1 organization
I20210824000114 OH Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 0042506024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Chicago College of Osteopathy, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians

Practice addresses (Care Compare)

3800 Embassy Pkwy
Suite 150
Akron, OH 44333-8410
Phone (330) 971-7571

Hospital & facility affiliations

  • Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
304079NYMDLicensed Practical Nurse
34.012592OHMDSports Medicine (Orthopaedic Surgery) Physician
00000000000000OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Services, Inc Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
University Orthopaedic Services Inc. Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
WRH Physicians, Inc. Orthopaedic Surgery CurrentSince Aug 30, 2021 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

  • Direct secure messaging: kheindel126161@direct.metrohealth.org
  • Direct secure messaging: koan.heindel@wrhs.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.