Individual provider Active NPI

Heather Lyn Cugini, M.D.

  • Obstetrics & Gynecology Physician
  • Cape Girardeau, MO
National Provider Identifier
1669707113
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2010006156 Issued in MO
Practice address
1111 N Mount Auburn Rd
Cape Girardeau, MO 63701-3437
Phone
(573) 339-1101
Fax
(573) 339-1737
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08662100 NJ
Obstetrics & Gynecology Physician 207V00000X 0101277603 VA
Obstetrics & Gynecology Physician 207V00000X 2010006156 MO Primary

Addresses

Primary practice location

1111 N Mount Auburn Rd
Cape Girardeau, MO 63701-3437

Mailing address

1111 N Mount Auburn Rd
Cape Girardeau, MO 63701-3437
Phone (573) 339-1101

Other practice location 1

1181 First Colonial Rd
Virginia Beach, VA 23454-2437
Phone (757) 425-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100817001606 MO Practitioner - Obstetrics/Gynecology 5890829436 Reassigns benefits to 1 organization
I20230426001678 VA Practitioner - Obstetrics/Gynecology 5890829436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 100
Norfolk, VA 23502

Hospital & facility affiliations

  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08662100NJMDObstetrics & Gynecology Physician
0101277603VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Apr 12, 2023 Accepting new patients
Southeast Hospital Current Accepting new patients
Southeast Missouri Hospital Physicians, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2014 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients

Locations

1111 N Mount Auburn Rd
Cpe Girardeau, MO 63701
Phone (573) 332-6000

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

1181 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 425-1600

1925 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 425-1600

Interoperability endpoints

  • Direct secure messaging: heather.cugini.1@22824.direct.athenahealth.com
  • Direct secure messaging: heather.cugini@wwi-ar.direct.office.nextgen.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1669707113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637013437",
            "telephone_number": "573-339-1101",
            "fax_number": "573-339-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637013437",
            "telephone_number": "573-339-1101",
            "fax_number": "573-339-1737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542437",
            "country_code": "US",
            "telephone_number": "757-425-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUGINI",
        "first_name": "HEATHER",
        "middle_name": "LYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08662100",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101277603",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2010006156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.