Individual provider Active NPI

Kenneth C Heist, D.O.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1730269481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS006682L Issued in PA
Practice address
2301 S 13TH St
Philadelphia, PA 19148-3505
Phone
(215) 271-6900
Fax
(215) 271-8740
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OS006682L PA Primary

Addresses

Primary practice location

2301 S 13TH St
Philadelphia, PA 19148-3505

Mailing address

2301 S 13TH St
Philadelphia, PA 19148-3505
Phone (215) 271-6900

Other identifiers 1

IdentifierTypeStateIssuer
0001416642MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20070507000369 PA Practitioner - Ophthalmology 9931205028 Reassigns benefits to 2 organizations
I20111209000164 NJ Practitioner - Ophthalmology 9931205028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M. Ringel, DO PAGroup PAC ID 4981681780, 2 clinicians

Practice addresses (Care Compare)

101 A Kings Way W
Sewell, NJ 08080-2233
Phone (856) 582-9507

2301 S 13TH St
Philadelphia, PA 19148-3505
Phone (215) 271-6900

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
21.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.15

Merit-based Incentive Payment System (MIPS)

Final score
90.83 of 100Reported as group
Quality
96.83
Improvement activities
40
Cost
73.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006682LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Eye Care, P.C. Ophthalmology CurrentSince Dec 20, 2006 Accepting new patients
David M. Ringel, DO PA Ophthalmology CurrentSince Mar 1, 1998 Accepting new patients
Moore Eye Care, P.C. Ophthalmology CurrentSince Dec 20, 2006 Accepting new patients
Stadium Campus Ambulatory Surgical Center, LLC Past Accepting new patients
Brigantine Eye Care Center Ophthalmology Past Accepting new patients
James G Gorman, Jr., D.O., P.a. Ophthalmology Past Accepting new patients

Locations

101 Kings Way W
#A
Sewell, NJ 08080
Phone (856) 582-9507

101A Kings Way W
Sewell, NJ 08080
Phone (609) 582-9507

254 Lancaster Ave
Ste 3
Malvern, PA 19355
Phone (610) 422-5000

1001 Baltimore Pike
Ste 208
Springfield, PA 19064
Phone (610) 604-0888

100 W Sproul Rd
Ste 100
Springfield, PA 19064
Phone (610) 690-4900

100 W Sproul Rd
Springfield, PA 19064
Phone (610) 619-8291

Interoperability endpoints

  • Direct secure messaging: kheist@drringel.updoxdirect.com
  • Direct secure messaging: hkenneth@mooreeye.updoxdirect.com

Organizations & group practices 7

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730269481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483505",
            "telephone_number": "215-271-6900",
            "fax_number": "215-271-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483505",
            "telephone_number": "215-271-6900",
            "fax_number": "215-271-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIST",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS006682L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001416642",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.