Active NPI
Kurt Heintzelman, M.D.
- Psychiatry Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35079095
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Ohio State University College of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| 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
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
- 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.
-
dba Access Health Network
- Medical Specialty Clinic/Center
- Columbus, OH
- NPI 1437463213
Psychiatry
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1689763740
-
- Multi-Specialty Clinic/Center
- Chillicothe, OH
- NPI 1255308136
-
- Primary Care Clinic/Center
- Chillicothe, OH
- NPI 1790116747
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.