NPIMap

Individual provider Active NPI

Wolf E Heberlein, MD

  • Interventional Pain Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1922121698
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
E-5565 Issued in AR
Practice address
3800 E Johnson Ave
Ste E
Jonesboro, AR 72401-1931
Phone
(870) 932-0399
Fax
(870) 932-0499
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-5565 AR
Interventional Pain Medicine Physician 208VP0014X E-5565 AR Primary

Addresses

Primary practice location

3800 E Johnson Ave
Ste E
Jonesboro, AR 72401-1931

Mailing address

3800 E Johnson Ave
Ste E
Jonesboro, AR 72401-1931
Phone (870) 932-0399

Other identifiers 2

IdentifierTypeStateIssuer
P00622537OtherARRAILROAD MEDICARE
168510001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080616000180 AR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8123199387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians
Pain and Interventional Radiology Specialists, P.a.Group PAC ID 4789962036, 3 clinicians

Practice addresses (Care Compare)

2902 E Race Ave
Unity Health After Hours Medical Clinic
Searcy, AR 72143-4806
Phone (501) 268-5433

3214 E Race Ave
Searcy, AR 72143-4810

3800 E Johnson Ave
Suite E
Jonesboro, AR 72401-1940
Phone (870) 932-0399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Interventional Pain Medicine CurrentSince Jan 1, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Nov 15, 2014 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Nov 15, 2014 Accepting new patients
White County Medical Center Interventional Pain Medicine CurrentSince Jan 1, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Pain & Interventional Radiology Specialists, P.a. Interventional Pain Medicine CurrentSince Nov 1, 2016 Accepting new patients
Ozarks Medical Center Diagnostic Radiology Past Accepting new patients

Locations

3800 E Johnson Ave
Ste E
Jonesboro, AR 72405
Phone (870) 932-0399

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

Interoperability endpoints

  • Direct secure messaging: wheberlein@ipain.curemd.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1922121698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E JOHNSON AVE",
            "address_2": "STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011931",
            "telephone_number": "870-932-0399",
            "fax_number": "870-932-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E JOHNSON AVE",
            "address_2": "STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011931",
            "telephone_number": "870-932-0399",
            "fax_number": "870-932-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERLEIN",
        "first_name": "WOLF",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-5565",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "E-5565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00622537",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168510001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.