Individual provider Active NPI

Zachary David Heppner, MD

  • Emergency Medicine Physician
  • Montgomery, OH
National Provider Identifier
1538620448
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.144771 Issued in OH
Practice address
10506 Montgomery Rd Ste 209
Montgomery, OH 45242-4400
Phone
(513) 865-9040
Fax
(513) 865-9046
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.144771 OH Primary

Addresses

Primary practice location

10506 Montgomery Rd Ste 209
Montgomery, OH 45242-4400

Mailing address

10506 Montgomery Rd Ste 209
Montgomery, OH 45242-4400
Phone (513) 865-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220729001215 OH Practitioner - Emergency Medicine 3870916893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.144771OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qualified Emergency Specialists Inc Emergency Medicine CurrentSince Aug 2, 2022 Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

6949 Good Samaritan Dr
Cincinnati, OH 45247
Phone (513) 246-9800

3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888

100 Arrow Springs Blvd
Lebanon, OH 45036
Phone (513) 282-7000

10506 Montgomery Rd
Ste 209
Montgomery, OH 45242
Phone (513) 794-1601

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111

Organizations & group practices 1

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1538620448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 209",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424400",
            "telephone_number": "513-865-9040",
            "fax_number": "513-865-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 209",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424400",
            "telephone_number": "513-865-9040",
            "fax_number": "513-865-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPNER",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.144771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.