NPIMap

Individual provider Active NPI

Eric C Heasley, MD

  • Internal Medicine Physician
  • Blairsville, PA
National Provider Identifier
1811954837
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD066199L Issued in PA
Practice address
25 Colony Boulevard
Suite 102
Blairsville, PA 15717-7971
Phone
(724) 459-9111
Fax
(724) 459-7856
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD066199L PA Primary

Addresses

Primary practice location

25 Colony Boulevard
Suite 102
Blairsville, PA 15717-7971

Mailing address

25 Colony Boulevard
Suite 102
Blairsville, PA 15717-7971
Phone (724) 459-9111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.heasley@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100625000145 PA Practitioner - Internal Medicine 4082745658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Klain, Heasley, Nettleton MD, PCGroup PAC ID 1658283718, 5 clinicians

Practice addresses (Care Compare)

1265 Wayne Ave
Suite 102
Indiana, PA 15701-3578
Phone (724) 349-4411

Hospital & facility affiliations

  • Visiting Nurse Association of Indiana County Home health agency, Indiana, PA, CCN 397097
  • Anew Home Health Agency Inc Home health agency, Clymer, PA, CCN 397764
  • Penn Home Health, Inc Home health agency, Indiana, PA, CCN 398009
  • 365 Hospice LLC Hospice, Carrolltown, PA, CCN 391774
  • Penn Hospice, Inc Hospice, Ebensburg, PA, CCN 391776
  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173
  • Conemaugh Miners Medical Center Hospital, Hastings, PA, CCN 391317
  • Scenery Hills Rehabilitation and Healthcare Center Nursing home, Indiana, PA, CCN 395313
  • Communities at Indian Haven, Nursing home, Indiana, PA, CCN 395778

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD066199LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Klain, Heasley, Nettleton MD PC Internal Medicine CurrentSince Dec 23, 1998 Accepting new patients
Scenery Hill Nursing and Rehabilitation LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Scenery Hills Rehabilitation and Healthcare Center LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Bruce a Bush MD PC Past Accepting new patients

Locations

155 E Market St
Ste 103
Blairsville, PA 15717
Phone (724) 459-9111

25 Colony Blvd
Ste 102
Blairsville, PA 15717
Phone (724) 459-9111

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

1265 Wayne Ave
Ste 102
Indiana, PA 15701
Phone (724) 349-4411

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

1265 Wayne Ave
Ste 103
Indiana, PA 15701
Phone (724) 349-8280

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
365 Hospice, LLCCarrolltown, PA, CCN 391774 Hospice Operational/Managerial Control Feb 23, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1811954837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COLONY BOULEVARD",
            "address_2": "SUITE 102",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177971",
            "telephone_number": "724-459-9111",
            "fax_number": "724-459-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLONY BOULEVARD",
            "address_2": "SUITE 102",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177971",
            "telephone_number": "724-459-9111",
            "fax_number": "724-459-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASLEY",
        "first_name": "ERIC",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD066199L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.heasley@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "25 Colony Boulevard",
            "address_2": "Suite 102",
            "city": "Blairsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157177971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

Verify at the official NPI Registry.