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MOHAMED O HEIKAL MD
NPI 1245451160
Internal Medicine - Pulmonary Disease in Bloomington, IN

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
2920 S MCINTIRE DR STE 150-A, BLOOMINGTON, IN 47403(765) 349-6793(765) 349-6949 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, Jun 6, 2024, Dec 12, 2018 and 1 more (4 updates tracked since 2017).

About Mohamed O Heikal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOHAMED O HEIKAL MD (NPI 1245451160) is an individual pulmonary disease provider in Bloomington, Indiana, licensed in Indiana (01072195A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245451160
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMOHAMED O HEIKALCredential: MD
Location Address2920 S MCINTIRE DR STE 150-ABloomington, IN 47403-4221
Mailing Address10330 N Meridian St # 300Indianapolis, IN 46290-1024
Phone(765) 349-6793
Fax(765) 349-6949
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 1, 2007
Last NPPES UpdateMay 23, 20254 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1245451160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IN · 01072195A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01072195A (IN)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01072195A (IN)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 01072195A (IN)
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License 01072195A (IN)
2920 S MCINTIRE DR STE 150-A, Bloomington, IN 47403
Open in Google Maps ↗

Secondary Practice Locations 3

Location 17250 Clearvista Dr Ste 355Indianapolis, IN 46256-5609 · Phone (317) 621-5676
Location 28330 Naab Rd Ste 340Indianapolis, IN 46260-2279 · Phone (317) 338-5100
Location 31701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 4

Medicaid201141700IN
OtherQ00896151IN · Railroad Ptan
Other1100109588IN · Anthem Ptan
Other000001218222IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamed O Heikal Md 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.

PECOS PAC ID2062507700
PECOS Enrollment IDI20130507000314
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services118 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
33 services32 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers335 claims335 services$32.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers269 claims269 services$71.66 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers502 claims646 services$27.56 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers354 claims901 services$15.72 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers209 claims565 services$11.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers281 claims281 services$47.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mohamed Heikal's NPI number?

The NPI number for Mohamed Heikal is 1245451160. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Mohamed Heikal located?

Mohamed Heikal practices at 2920 S Mcintire Dr Ste 150-A, Bloomington, IN 47403. The listed phone number is (765) 349-6793.

What is Mohamed Heikal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mohamed Heikal enrolled in Medicare?

Yes. Mohamed Heikal 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.

What insurance does Mohamed Heikal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Mohamed Heikal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mohamed Heikal affiliated with any hospitals?

According to CMS data, Mohamed Heikal is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health.

When was this NPI record last updated?

The NPPES record for Mohamed Heikal was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.