Individual provider Active NPI

Kathleen Renee Heim, M.D.

  • Maternal & Fetal Medicine Physician
  • Arlington, VA
National Provider Identifier
1497071310
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
0101262009 Issued in VA
Practice address
1635 N George Mason Dr Ste 190
Arlington, VA 22205-3633
Phone
(703) 558-6077
Fax
(703) 558-6015
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 0101262009 VA Primary

Addresses

Primary practice location

1635 N George Mason Dr Ste 190
Arlington, VA 22205-3633

Mailing address

1635 N George Mason Dr Ste 190
Arlington, VA 22205-3633
Phone (703) 558-6077

Other identifiers 6

IdentifierTypeStateIssuer
1497071310MedicaidVA
1497071310OtherCORVEL
1497071310OtherVAUSA MANAGED CARE
1497071310OtherVAVIRGINIA PREMIER HEALTH PLAN
1497071310OtherVAMULTIPLAN
1497071310OtherVATRICARE/CHAMPUS

Other names 1

  • Kathleen Renee Dorfler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kheim73868@direct.virginiahospitalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20191203000072 DC Practitioner - Obstetrics/Gynecology 5496970675 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Maternal & Fetal Medicine Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 3, 2020 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Jan 3, 2020 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1851 N George Mason Dr
Ste 5B
Arlington, VA 22207
Phone (703) 558-6077

1635 N George Mason Dr
Ste 190
Arlington, VA 22205
Phone (703) 521-6662

Interoperability endpoints

  • Direct secure messaging: kheim73868@direct.virginiahospitalcenter.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1497071310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 190",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053633",
            "telephone_number": "703-558-6077",
            "fax_number": "703-558-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR STE 190",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053633",
            "telephone_number": "703-558-6077",
            "fax_number": "703-558-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "KATHLEEN",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VA",
            "license": "0101262009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497071310",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL",
            "identifier": "1497071310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "1497071310",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH PLAN",
            "identifier": "1497071310",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "1497071310",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "1497071310",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kheim73868@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1635 N George Mason Dr Ste 190",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DORFLER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.