Individual provider Active NPI

Heather Aimee Loesch, MD

  • Dermatology Physician
  • Wilmington, NC
National Provider Identifier
1508886821
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200000526 Issued in NC
Practice address
2504 Delaney Avenue
Wilmington, NC 28403-6002
Phone
(910) 343-0626
Fax
(910) 343-8012
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200000526 NC Primary
Dermatology Physician 207N00000X 048434 GA

Addresses

Primary practice location

2504 Delaney Avenue
Wilmington, NC 28403-6002

Mailing address

2504 Delaney Avenue
Wilmington, NC 28403-6002
Phone (910) 343-0626

Other identifiers 3

IdentifierTypeStateIssuer
126ACOtherNCBCBS
562276621BOtherNCCIGNA
89126ACMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071109000475 NC Practitioner - Dermatology 5698742070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Kansas City, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Dermatology and Surgery Center, PAGroup PAC ID 8820067499, 3 clinicians

Practice addresses (Care Compare)

2504 Delaney Ave
Wilmington, NC 28403-6002
Phone (910) 343-0626

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as individual
Quality
100
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision75
Removal of tissue17
Removal of skin lesions1049
Removal of skin cancer525
Skin biopsy279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048434GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Dermatology & Surgery Center, PA CurrentSince Jan 14, 2002 Accepting new patients
Coastal Cardiology Associates, PA PastSince Jan 14, 2002 Accepting new patients

Locations

2504 Delaney Ave
Wilmington, NC 28403
Phone (910) 343-0626

Interoperability endpoints

  • Direct secure messaging: hloesch1253891@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1508886821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 DELANEY AVENUE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-343-0626",
            "fax_number": "910-343-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 DELANEY AVENUE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036002",
            "telephone_number": "910-343-0626",
            "fax_number": "910-343-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESCH",
        "first_name": "HEATHER",
        "middle_name": "AIMEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200000526",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "048434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "126AC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "562276621B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126AC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.