Individual provider Active NPI

Mark Heino, MD

  • Family Medicine Physician
National Provider Identifier
1679928055
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD468386 Issued in PA
Practice address
48 MDG / Raf Lakenheath
Unit 5115
Apo, AE 09461
Phone
(314) 590-7028
NPI assigned
May 4, 2016
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD468386 PA Primary

Addresses

Primary practice location

48 MDG / Raf Lakenheath
Unit 5115
Apo, AE 09461

Mailing address

48 MDG / Raf Lakenheath
Unit 5115
Apo, AE 09461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190904000013 PA Practitioner - Family Practice 2769775113 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD468386PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2022 Accepting new patients
BHS Faster Care PLLC CurrentSince Jul 30, 2019 Accepting new patients
Allegheny Clinic Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Klamath Tribal Health & Family Services PastSince Jun 1, 2024 Accepting new patients
Klamath Tribal Health & Family Services PastSince Jun 1, 2024 Accepting new patients

Locations

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

305 7th St
New Kensington, PA 15068
Phone (724) 339-3900

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1679928055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "48 MDG / RAF LAKENHEATH",
            "address_2": "UNIT 5115",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "48 MDG / RAF LAKENHEATH",
            "address_2": "UNIT 5115",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461",
            "telephone_number": "314-590-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINO",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD468386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.