Individual provider Active NPI

Alfred P Heinen, PA-C

  • Surgical Physician Assistant
  • Atlantis, FL
National Provider Identifier
1588658165
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA3697 Issued in FL
Practice address
5301 S Congress Ave
BLDG. #300
Atlantis, FL 33462-1149
Phone
(561) 548-4900
Fax
(561) 548-4902
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA3697 FL Primary

Addresses

Primary practice location

5301 S Congress Ave
BLDG. #300
Atlantis, FL 33462-1149

Mailing address

5301 S Congress Ave
BLDG. #300
Atlantis, FL 33462-1149
Phone (561) 548-4900

Other identifiers 1

IdentifierTypeStateIssuer
291938900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALFRED.HEINEN@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000348 FL Practitioner - Physician Assistant 3870559123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

5301 S Congress Ave
Atlantis, FL 33462-1149

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3697FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aventura Healthcare Specialists, LLC CurrentSince Feb 11, 2015 Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Locations

3641 S Miami Ave
Ste 170
Miami, FL 33133
Phone (305) 285-2121

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: alfred.heinen@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1588658165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "address_2": "BLDG. #300",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-548-4900",
            "fax_number": "561-548-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "address_2": "BLDG. #300",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-548-4900",
            "fax_number": "561-548-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEN",
        "first_name": "ALFRED",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291938900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALFRED.HEINEN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5301 S Congress Ave",
            "address_2": "BLDG. #300",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334621149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.