DR. URSULA B HEBERLEIN M.D.
NPI 1225167323
Family Medicine in Germantown, MD
About Dr. Ursula B Heberlein M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. URSULA B HEBERLEIN M.D. (NPI 1225167323) is an individual family medicine provider in Germantown, Maryland, licensed in Maryland (D43369) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of State University Of Ny Upstate Medical University (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ursula B Heberlein M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ursula Heberlein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tysons, VA 22102
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1861203143 (Maryland)
- 691 clinicians in this Medicare group
Halethorpe, MD 21227
- Reassigned Medicare billing, Maryland enrollment
- 1,253 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GERMANTOWN, MD 20876
GERMANTOWN, MD 20876
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ursula Heberlein's NPI number?
The NPI number for Ursula Heberlein is 1225167323. It was assigned to this individual provider in the NPPES registry on March 5, 2007.
Where is Ursula Heberlein located?
Ursula Heberlein practices at 20500 Seneca Meadows Pkwy Suite 2400, Germantown, MD 20876. The listed phone number is (240) 912-2738.
What is Ursula Heberlein's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ursula Heberlein enrolled in Medicare?
Yes. Ursula Heberlein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ursula Heberlein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ursula Heberlein reassigns Medicare benefits to 2 organizations: Johns Hopkins Community Physicians, Inc (Tysons, VA) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Halethorpe, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ursula Heberlein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ursula Heberlein affiliated with any hospitals?
According to CMS data, Ursula Heberlein is affiliated with Johns Hopkins Hospital, The.
When was this NPI record last updated?
The NPPES record for Ursula Heberlein was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ursula B Heberlein, M.D. · NPI 1225167323
Family Medicine physician in Germantown, Maryland. Individual provider, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1225167323 (Entity type: Individual)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** D43369 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 20500 SENECA MEADOWS PKWY, SUITE 2400, Germantown, MD 20876-7008
- **Phone:** (240) 912-2738 · **Fax:** (240) 912-2739
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins Community Physicians, Inc (NPI 1790631695, Tysons, VA); Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1417294984, Halethorpe, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 1989
## Record status
- **NPPES last updated:** May 9, 2013
- **Other identifiers:** Medicare UPIN F31925
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Source: [NPI Profile](https://npiprofile.com/npi/1225167323) · Data from the CMS NPPES public registry.