Individual provider Active NPI

Kristann Wilmore Heinz, M.D.

  • Family Medicine Physician
  • Ottsville, PA
National Provider Identifier
1720285752
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD442653 Issued in PA
Practice address
85 Sherman Road
Ottsville, PA 18942
Phone
(610) 847-1111
Fax
(215) 278-4051
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 MD442653 PA Primary

Addresses

Primary practice location

85 Sherman Road
Ottsville, PA 18942

Mailing address

85 Sherman Road
Ottsville, PA 18942
Phone (610) 847-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5724 Clymer Rd
Quakertown, PA 18951-3266

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
International Healing Ministries Family Medicine PastSince Jul 25, 1995 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1720285752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SHERMAN ROAD",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "18942",
            "telephone_number": "610-847-1111",
            "fax_number": "215-278-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SHERMAN ROAD",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "18942",
            "telephone_number": "610-847-1111",
            "fax_number": "215-278-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "KRISTANN",
        "middle_name": "WILMORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD442653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottsville, PA

Sources for this page

Verify at the official NPI Registry.