Active NPI
Kevin David Heath, MD
- Gastroenterology Physician
- Conway, AR
National Provider Identifier
1992702336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C6835
- Practice address
- 455 Hogan LN
Conway, AR 72034-8201 - Phone
- (501) 513-0799
- Fax
- (501) 513-0798
- NPI assigned
- Jun 30, 2005
- Last updated
- Aug 1, 2012
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | C6835 | AR | Primary |
Addresses
Primary practice location
455 Hogan LN
Conway, AR 72034-8201
Mailing address
PO Box 10780
Conway, AR 72034-0013
Phone (501) 513-0799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128137001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6835 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Clinics of Arkansas, PLLC | Current | Accepting new patients | |
| Conway Endoscopy Center, Inc. | Past | Accepting new patients | |
| Conway Gastroenterology, PA | Gastroenterology | Past | Accepting new patients |
Locations
455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799
409 N University Ave
Little Rock, AR 72205
Phone (501) 246-4561
3401 Springhill Dr
Ste 400A
North Little Rock, AR 72117
Phone (501) 791-3800
Organizations & group practices 4
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.
-
- Specialist
- North Little Rock, AR
- NPI 1972944064
-
- Gastroenterology Physician
- Springdale, AR
- NPI 1508400425
-
- Endoscopy Clinic/Center
- Conway, AR
- NPI 1265439632
-
- Gastroenterology Physician
- Conway, AR
- NPI 1528065976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1992702336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10780",
"city": "CONWAY",
"state": "AR",
"postal_code": "720340013",
"telephone_number": "501-513-0799",
"fax_number": "501-513-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 HOGAN LN",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348201",
"telephone_number": "501-513-0799",
"fax_number": "501-513-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "KEVIN",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "C6835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128137001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.