Kurt Heintzelman, M.D.
Individual provider Active NPI Psychiatry Physician · Columbus, OH
NPI 1598096950 · NPPES record last updated Aug 23, 2019
Key facts
- NPI
- 1598096950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 35079095 (OH)
- Practice address
- 16 W Long St
Columbus, OH 43215-2815 - Phone
- (614) 225-0980
- Fax
- (614) 225-0991
- NPI assigned
- Jan 26, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Ohio State University College of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Access Ohio LLC
Access Behavioral LLC
Practice addresses (Care Compare)
4725 Parkwick Dr
Suite 100
Columbus, OH 43228-6401
Phone (614) 655-3354
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100301000485 | OH | Practitioner - Psychiatry | 5799820809 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35079095 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Ohio, LLC | Current |
Accepting new patients | |
| Access Behavioral LLC | Psychiatry | Current |
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
8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345
4725 Parkwick Dr
Ste 109
Columbus, OH 43228
Phone (614) 985-3112
4725 Parkwick Dr
Ste 100
Columbus, OH 43228
Phone (614) 655-3354
899 E Broad St
Ste 334
Columbus, OH 43205
Phone (614) 396-9333
899 E Broad St
Columbus, OH 43205
Phone (614) 252-0771
6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700
2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579
2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579
250 S Henry St
Delaware, OH 43015
Phone (740) 369-4482
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/spvmhc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35079095 | OH | Yes |
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
Other providers in Columbus, OH
- Malina Michelle Heinrich
- Virginia S Heins
- Anthony Heintz
- John Stephen Heintz
- Douglas L Heintzelman
- Sarah M. Heintzman
- Justin Michael Heinz
- Michael Joseph Heinze
- Heinzerling Developmental Center
- Heinzerling Foundation
All providers in Columbus, OH · Psychiatry Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.