Active NPI
Kevin James Heinze, M.D.
- Obstetrics & Gynecology Physician
- Centennial, CO
National Provider Identifier
1952488140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- CO33571
- Practice address
- 14000 E Arapahoe Rd
Suite 390
Centennial, CO 80112-4043 - Phone
- (303) 632-3600
- Fax
- (303) 632-3606
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | CO33571 | CO | Primary |
Addresses
Primary practice location
14000 E Arapahoe Rd
Suite 390
Centennial, CO 80112-4043
Mailing address
14000 E Arapahoe Rd
Suite 390
Centennial, CO 80112-4043
Phone (303) 632-3600
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841333153 | Other | UNITED HEALTHCARE | |
| 841333153 | Other | BLUE CROSS BLUE SHIELD | |
| 841333153 | Other | HUMANA | |
| 84133315302 | Other | CO | PACIFICARE ID |
| COA106374 | Other | CO | MEDICARE PTAN |
| 4660703 | Other | CO | AETNA |
| 8411333153001 | Other | CO | ROCKY MOUNTAIN HEALTHPLAN |
| 841333153 | Other | CIGNA | |
| 01335710 | Medicaid | CO | |
| 841333153 | Other | GREAT WEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO33571 | CO | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Centennial, CO
- NPI 1720360803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1952488140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14000 E ARAPAHOE RD",
"address_2": "SUITE 390",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124043",
"telephone_number": "303-632-3600",
"fax_number": "303-632-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 E ARAPAHOE RD",
"address_2": "SUITE 390",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124043",
"telephone_number": "303-632-3600",
"fax_number": "303-632-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZE",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "CO33571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "841333153",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "841333153",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "841333153",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE ID",
"identifier": "84133315302",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "COA106374",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4660703",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKY MOUNTAIN HEALTHPLAN",
"identifier": "8411333153001",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "841333153",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01335710",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "841333153",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.