NPIMap

Individual provider Active NPI

Jared G Heiner, M.D.

  • Urology Physician
  • Meridian, ID
National Provider Identifier
1710097068
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
TL3798 Issued in ID
Practice address
3085 E Magic View Dr Ste 140
Meridian, ID 83642-3745
Phone
(208) 229-9009
Fax
(208) 229-9010
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X TL3798 ID Primary

Addresses

Primary practice location

3085 E Magic View Dr Ste 140
Meridian, ID 83642-3745

Mailing address

3085 E Magic View Dr Ste 140
Meridian, ID 83642-3745
Phone (208) 229-9009

Other names 1

  • Jared Heiner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000284 ID Practitioner - Urology 1456350875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, San Diego School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Treasure Valley Urology PLLC 2 clinicians

Practice addresses (Care Compare)

3085 E Magic View Dr
Suite 140
Meridian, ID 83642-3745
Phone (208) 229-9009

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Treasure Valley Hospital Hospital, Boise, ID, CCN 130063
  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071

Merit-based Incentive Payment System (MIPS)

Final score
94.36 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
81.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL3798IDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Valley Urology PLLC Urology CurrentSince Dec 10, 2018 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Beacon Cancer Care PLLC Past Accepting new patients

Locations

8854 W Emerald St
Ste 180
Boise, ID 83704
Phone (208) 229-9009

3085 E Magic View Dr
Ste 140
Meridian, ID 83642
Phone (208) 229-9009

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFBGBD

Organizations & group practices 3

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 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1710097068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423745",
            "telephone_number": "208-229-9009",
            "fax_number": "208-229-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423745",
            "telephone_number": "208-229-9009",
            "fax_number": "208-229-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINER",
        "first_name": "JARED",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "TL3798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARED",
            "last_name": "HEINER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.