Individual provider Active NPI

Mark Heimerman, PA-C

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1902891963
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500401 Issued in KS
Practice address
6001 SW 6TH Ave. Suite 200
Topeka, KS 66615
Phone
(785) 233-7491
Fax
(785) 233-2564
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500401 KS Primary

Addresses

Primary practice location

6001 SW 6TH Ave. Suite 200
Topeka, KS 66615

Mailing address

6001 SW 6TH Ave. Suite 200
Topeka, KS 66615
Phone (785) 233-7491

Other practice location 1

2500 Canterbury Dr
Suite 112
Hays, KS 67601-2247
Phone (785) 628-8221

Other identifiers 1

IdentifierTypeStateIssuer
100340740AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000941 KS Practitioner - Physician Assistant 2365482973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

6001 SW 6TH Ave
Topeka, KS 66615-1004

Hospital & facility affiliations

  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1500401KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Feb 12, 2024 Accepting new patients
ASC at Fho PastSince Nov 1, 2020 Accepting new patients
Flint Hills Orthopaedics Kansas City, LLC PastSince Mar 4, 2021 Accepting new patients

Locations

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

6001 SW 6th Ave
Ste 200
Topeka, KS 66615
Phone (785) 233-7491

Interoperability endpoints

  • Direct secure messaging: mheimerman911996@ahs.direct-ci.com
  • Direct secure messaging: mark.heimerman@haysmeddirect.com

Organizations & group practices 3

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 1

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1902891963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE. SUITE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66615",
            "telephone_number": "785-233-7491",
            "fax_number": "785-233-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE. SUITE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66615",
            "telephone_number": "785-233-7491",
            "fax_number": "785-233-2564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Canterbury Dr",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012247",
            "country_code": "US",
            "telephone_number": "785-628-8221",
            "fax_number": "785-628-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMERMAN",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340740A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.