Individual provider Active NPI

Heather Leigh Perry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Madison, IA
National Provider Identifier
1801021431
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000859 Issued in IA
Practice address
5409 Avenue O
Fort Madison, IA 52627-9601
Phone
(319) 376-2134
NPI assigned
May 27, 2009
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X 000859 IA Primary

Addresses

Primary practice location

5409 Avenue O
Fort Madison, IA 52627-9601

Mailing address

5409 Avenue O
Fort Madison, IA 52627-9601
Phone (319) 376-2134

Other identifiers 1

IdentifierTypeStateIssuer
000859MedicaidIA

Other names 1

  • Miss Heather Leigh Roland Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.perry@Direct.greatriverhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120807000176 IA Practitioner - Podiatry 6406002468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

5409 Ave O
Fort Madison, IA 52627-9601

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue120
Removal of skin lesions1-10
Removal of nail tissue1343
Removal or shaving of skin growth144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients

Locations

5409 Avenue O
Ste 1
Fort Madison, IA 52627
Phone (319) 376-2134

5409 Avenue O
Ste 101
Fort Madison, IA 52627
Phone (319) 372-6530

5409 Avenue O
Ste 115
Fort Madison, IA 52627
Phone (319) 372-5465

5409 Avenue O
Ste 122
Fort Madison, IA 52627
Phone (319) 372-6530

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

Interoperability endpoints

  • Direct secure messaging: heather.perry@direct.greatriverhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1801021431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279601",
            "telephone_number": "319-376-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279601",
            "telephone_number": "319-376-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "HEATHER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "000859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000859",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.perry@Direct.greatriverhealth.org",
            "affiliation": "N",
            "endpointDescription": "Great River Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "5409 Avenue O",
            "city": "Fort Madison",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526279601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "ROLAND",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Madison, IA

Sources for this page

Verify at the official NPI Registry.