Individual provider Active NPI

Kurt Heintzelman, M.D.

  • Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1598096950
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35079095 Issued in OH
Practice address
16 W Long St
Columbus, OH 43215-2815
Phone
(614) 225-0980
Fax
(614) 225-0991
NPI assigned
Jan 26, 2010
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35079095 OH Primary

Addresses

Primary practice location

16 W Long St
Columbus, OH 43215-2815

Mailing address

8100 Ravines Edge CT
Ste 200
Columbus, OH 43235-5426
Phone (614) 225-0980

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
I20100301000485 OH Practitioner - Psychiatry 5799820809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Access Ohio LLCGroup PAC ID 4385899053, 31 clinicians
Access Behavioral LLCGroup PAC ID 1052595402, 23 clinicians

Practice addresses (Care Compare)

4725 Parkwick Dr
Suite 100
Columbus, OH 43228-6401
Phone (614) 655-3354

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Ohio, LLC CurrentSince Sep 24, 2022 Accepting new patients
Access Behavioral LLC Psychiatry CurrentSince Jul 24, 2019 Accepting new patients
Access Ohio, LLC Current Accepting new patients
Scioto Paint Valley Mental Health Center Past Accepting new patients
Scioto Paint Valley Mental Health Center Past Accepting new patients

Locations

4725 Parkwick Dr
Ste 100
Columbus, OH 43228
Phone (614) 655-3354

4725 Parkwick Dr
Ste 109
Columbus, OH 43228
Phone (614) 985-3112

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

899 E Broad St
Columbus, OH 43205
Phone (614) 252-0771

899 E Broad St
Ste 334
Columbus, OH 43205
Phone (614) 396-9333

2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579

2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579

250 S Henry St
Delaware, OH 43015
Phone (740) 369-4482

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1598096950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 RAVINES EDGE CT",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355426",
            "telephone_number": "614-225-0980",
            "fax_number": "614-225-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W LONG ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152815",
            "telephone_number": "614-225-0980",
            "fax_number": "614-225-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZELMAN",
        "first_name": "KURT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35079095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.