Active NPI
Ronald Jeffrey Heilpern, MD
- Gastroenterology Physician
- Rancho Mirage, CA
National Provider Identifier
1760468896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A41040
- Practice address
- 72780 Country Club Dr
Suite 100
Rancho Mirage, CA 92270-7103 - Phone
- (760) 773-9750
- Fax
- (760) 773-9294
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A41040 | CA | Primary |
Addresses
Primary practice location
72780 Country Club Dr
Suite 100
Rancho Mirage, CA 92270-7103
Mailing address
72780 Country Club Dr
Suite 100
Rancho Mirage, CA 92270-4126
Phone (760) 773-9750
Other names 1
- R Jeffrey Heilpern
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41040 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Jeffrey Heilpern MD Inc | Gastroenterology | Past | 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.
-
- Gastroenterology Physician
- Rancho Mirage, CA
- NPI 1053398164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1760468896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72780 COUNTRY CLUB DR",
"address_2": "SUITE 100",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704126",
"telephone_number": "760-773-9750",
"fax_number": "760-773-9294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72780 COUNTRY CLUB DR",
"address_2": "SUITE 100",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922707103",
"telephone_number": "760-773-9750",
"fax_number": "760-773-9294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILPERN",
"first_name": "RONALD",
"middle_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A41040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R",
"last_name": "HEILPERN",
"middle_name": "JEFFREY",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.