Kelly D Heiland, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS012295 Issued in PA

Practice address

4453 Castor Ave
Suite B
Philadelphia, PA 19124-3846

Phone

(215) 744-2266

Fax

(215) 743-9247

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

NephrologyAlso: Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Nephrology Associates PCGroup PAC ID 3779566732, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Roxborough Dialysis facility, Philadelphia, PA, CCN 392516
• Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
• Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Metropolitan Nephrology Associates, P.C.

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1417900630
  Medicare reassignment Care Compare group NPD
• Temple Physicians Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1942444088
  Medicare reassignment NPD
• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD
• Temple Physicians Inc.

  • Gynecology Physician
  • Philadelphia, PA
  • NPI 1215089560
  NPD
• Franklin County Medical Associates

  • Nephrology Physician
  • Chambersburg, PA
  • NPI 1083640254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson Health - Northeast

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1801963343
  Care Compare affiliation Name & address match
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Prime Healthcare Services Roxborough LLC

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1083986129
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1801836705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "SUITE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE",
            "address_2": "SUITE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266",
            "fax_number": "215-743-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILAND",
        "first_name": "KELLY",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS012295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Heiderscheidt, OT
• Alec Heidlauf, MD
• Bramble Heidt
• Michael Heifets, MD
• Diane Carey Heil, OTR/L
• Sharon Lynn Heileman, LPC
• Amber Heiler
• Jonathan David Heiliczer, M.D.
• Ashley N Heilman, PT
• John A. Heim, M.D.

• Nephrology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.