Individual provider Active NPI

Louis R Heisler, MD

  • Internal Medicine Physician
  • Lake Success, NY
National Provider Identifier
1659368314
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
GO120352 Issued in NY
Practice address
910 Lakeville Rd
Lake Success, NY 11040-3008
Phone
(516) 488-5050
Fax
(516) 326-6252
NPI assigned
Sep 28, 2005
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X GO120352 NY Primary

Addresses

Primary practice location

910 Lakeville Rd
Lake Success, NY 11040-3008

Mailing address

410 Lakeville Rd
Yuins, Roberts & Burrau, PC
Lake Success, NY 11042-1101
Phone (516) 488-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100524000224 NY Practitioner - Internal MedicinePractitioner - Interventional Pain Management 5193853679 Practice locations: Roslyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GO120352NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1659368314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD",
            "address_2": "YUINS, ROBERTS & BURRAU, PC",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421101",
            "telephone_number": "516-488-5050",
            "fax_number": "516-356-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LAKEVILLE RD",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110403008",
            "telephone_number": "516-488-5050",
            "fax_number": "516-326-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISLER",
        "first_name": "LOUIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "GO120352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.