Individual provider Active NPI

Charles L Heilman, CRNA

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1609173723
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
465830-1 Issued in NY
Practice address
1425 Portland Ave
Rochester, NY 14621-3011
Phone
(585) 922-4159
NPI assigned
Feb 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 465830-1 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Rochester, NY 14621-3011

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 548-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000543 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698944379 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Wayne Community HospitalGroup PAC ID 0446154199, 129 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (585) 922-1738

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1472

301 E Main St
Bay Shore, NY 11706-8408
Phone (914) 666-8866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
465830-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Anesthesiology Associates, PC Anesthesiology CurrentSince Jun 16, 2021 Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
North Fork Surgery Center LLC Anesthesiology CurrentSince May 4, 2021 Accepting new patients
Rochester General Hospital CurrentSince Dec 30, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 30, 2024 Accepting new patients
North Fork Surgery Center LLC CurrentSince May 4, 2021 Accepting new patients
Rochester General Hospital CurrentSince Dec 30, 2024 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jun 22, 2021 Accepting new patients
Quality Medical Management Corp Anesthesiology CurrentSince May 1, 2021 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143

3636 33rd St
Ste 204
Long Island City, NY 11106
Phone (631) 446-1190

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

131 Merrick Rd
North Merrick, NY 11566
Phone (516) 223-1515

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1149 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3000

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

700 Boisseau Ave
Southold, NY 11971
Phone (631) 477-5353

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 11

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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1609173723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213011",
            "telephone_number": "585-922-4159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Roanoke Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012031",
            "country_code": "US",
            "telephone_number": "631-548-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "465830-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.