Active NPI
Russell R Heath, MD
- Clinical Cardiac Electrophysiology Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 45563
- Practice address
- 2121 E Harmony Rd
Ste 100
Fort Collins, CO 80528-3400 - Phone
- (970) 221-1000
- Fax
- (970) 297-6860
- NPI assigned
- Jan 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45563 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | 45563 | CO | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 45563 | CO | Primary |
Addresses
Primary practice location
2121 E Harmony Rd
Ste 100
Fort Collins, CO 80528-3400
Mailing address
2121 E Harmony Rd
Suite 100
Fort Collins, CO 80528-3400
Phone (970) 221-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68237715 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- University of Texas Medical Branch at Galveston, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Poudre Valley Medical Group LLC
Practice addresses (Care Compare)
2121 E Harmony Rd
Unit 100 Uchmg Cardiology Fort Collins
Fort Collins, CO 80528-3401
Phone (970) 221-1000
3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-9411
5050 Powderhouse Rd
Cheyenne, WY 82009-4800
Phone (307) 634-1311
Hospital & facility affiliations
- Medical Center of the Rockies
- Poudre Valley Hospital
- Longs Peak Hospital
- Uchealth Greeley Hospital
- Regional West Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45563 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
1107 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 493-7442
1107 S Lemay Ave
Ste 100
Fort Collins, CO 80524
Phone (970) 207-4857
2121 E Harmony Rd
Unit 100
Fort Collins, CO 80528
Phone (970) 663-3107
1760 E Ken Pratt Blvd
Ste 205
Longmont, CO 80504
Phone (720) 718-3930
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
2500 Rocky Mountain Ave
Ste 100
Loveland, CO 80538
Phone (970) 624-1800
428 S Durbin St
Casper, WY 82601
Phone (307) 265-1914
5050 Powderhouse Rd
Cheyenne, WY 82009
Phone (307) 634-1311
3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319
Organizations & group practices 2
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1154876985
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1104262286
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1750392304
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1780243055
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1679419808
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1962158857
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1073172094
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1093374001
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1093374092
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1114586278
-
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1184283103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1649326265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "SUITE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-221-1000",
"fax_number": "970-297-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "STE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-221-1000",
"fax_number": "970-297-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "RUSSELL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "45563",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CO",
"license": "45563",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CO",
"license": "45563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68237715",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.