Individual provider Active NPI

Grant W Heinz, MD

  • Ophthalmology Physician
  • Mesa, AZ
National Provider Identifier
1730169608
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24590 Issued in AZ
Practice address
6007 E Baseline Rd Ste 101
Mesa, AZ 85206-4801
Phone
(480) 833-3698
Fax
(480) 833-3735
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24590 AZ Primary

Addresses

Primary practice location

6007 E Baseline Rd Ste 101
Mesa, AZ 85206-4801

Mailing address

6007 E Baseline Rd Ste 101
Mesa, AZ 85206-4801
Phone (480) 833-3698

Other identifiers 1

IdentifierTypeStateIssuer
373720OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040707001336 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Ophthalmology 2062490071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Washington School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer Specialists LTDGroup PAC ID 4486883469, 4 clinicians

Practice addresses (Care Compare)

2250 W Southern Ave
Suite 102
Mesa, AZ 85202-4736
Phone (480) 835-5532

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
69.82
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision315
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Specialists PLLC Past Accepting new patients
Sjhmc Physician Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: g.heinz@directaddress.net
  • Direct secure messaging: gheinz@ghmd.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1730169608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064801",
            "telephone_number": "480-833-3698",
            "fax_number": "480-833-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064801",
            "telephone_number": "480-833-3698",
            "fax_number": "480-833-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "GRANT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "24590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "373720",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.