Individual provider Active NPI

Louis I Heller, MD

  • Cardiovascular Disease Physician
  • Kingston, NY
National Provider Identifier
1821084237
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
150444 Issued in NY
Practice address
111 Marys Ave Ste 3
Kingston, NY 12401-5896
Phone
(453) 393-6638
Fax
(845) 339-3629
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 45238 GA
Cardiovascular Disease Physician 207RC0000X 45238 GA
Interventional Cardiology Physician 207RI0011X 150444 NY
Nuclear Cardiology Physician 207UN0901X 45238 GA
Cardiovascular Disease Physician 207RC0000X 150444 NY Primary

Addresses

Primary practice location

111 Marys Ave Ste 3
Kingston, NY 12401-5896

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Louis.Heller@wmchealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20180103001890 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496640609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians

Practice addresses (Care Compare)

111 Marys Ave
Suite 3
Kingston, NY 12401-5896
Phone (845) 339-3663

117 Marys Ave
Suite 102
Kingston, NY 12401-5849
Phone (845) 338-5555

42082 State Hwy 28
Suite 17
Margaretville, NY 12455-2820
Phone (845) 303-1132

42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
  • Margaretville Memorial Hospital Hospital, Margaretville, NY, CCN 331304
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45238GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 15, 2018 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Gwinnett Medical Group, Inc Current Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 15, 2018 Accepting new patients
Cardiovascular Group, PC Cardiovascular Disease Past Accepting new patients
Paulding Medical Center, Inc. Past Accepting new patients
Paulding Medical Center, Inc. Past Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

111 Marys Ave
Ste 3
Kingston, NY 12401
Phone (845) 452-7319

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: louis.heller@wmchealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 8

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 4

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1821084237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-909-9018",
            "fax_number": "914-909-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE STE 3",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015896",
            "telephone_number": "453-393-6638",
            "fax_number": "845-339-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "LOUIS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "45238",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "45238",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "150444",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "45238",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "150444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Louis.Heller@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "111 Marys Ave Ste 3",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124015896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.