Benjamin Thomas Heatwole, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

036132531 Issued in IL

Practice address

25 N Winfield Rd
400
Winfield, IL 60190

Phone

(630) 456-7178

NPI assigned

Apr 12, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Internal Medicine

Education

Pennsylvania State University College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lowell General Inpatient Specialists PLLCGroup PAC ID 8729371380, 70 clinicians

Winchester Lahey Inpatient Specialists PLLCGroup PAC ID 6608150149, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Hospital Hospital, Winchester, MA, CCN 220105
• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
• Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bheatwole50083@tuftsmedicine.direct-ci.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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.

• Lowell General Inpatient Specialists PLLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1649626391
  Medicare reassignment Care Compare group NPD
• Winchester Lahey Inpatient Specialists PLLC

  • Internal Medicine Physician
  • Winchester, MA
  • NPI 1144770629
  Medicare reassignment Care Compare group NPD
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  NPD (past)
• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  NPD (past)

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

• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  Care Compare affiliation
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  Care Compare affiliation
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation
• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  Care Compare affiliation

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1871819128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "address_2": "400",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "630-456-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATWOLE",
        "first_name": "BENJAMIN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036132531",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036132531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Edward Havelka, MD
• Paul Andres Hawkins, MD
• Ammar Hayani, MD
• Hearing Professionals of America LLC
• Heartwood Counseling & Wellness PLLC
• Steven Thomas Heidt, MD
• Jennifer N Heise, APN
• Shaun Edward Heitzman, LCPC
• Diana Constanza Hengartner, M.D.
• Erin Marie Heniff, AU.D.

• Hospitalist Physician in Winfield, IL
• Providers in Winfield, IL by specialty
• Hospitalist Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.