Active NPI
Mark Heimerman, PA-C
- Physician Assistant
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100340740A | Medicaid | KS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1500401 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| ASC at Fho | Past | Accepting new patients | |
| Flint Hills Orthopaedics Kansas City, LLC | Past | 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
- mheimerman911996@ahs.direct-ci.com
- 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.
-
- Ambulatory Surgical Clinic/Center
- Andover, KS
- NPI 1881294171
-
- Orthopaedic Surgery Physician
- Overland Park, KS
- NPI 1891389623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.