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

Q: 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.

Q: What is Mohamed Heikal's specialty?

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

Q: 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 17 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.

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: November 01, 2026.

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

On this page

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mohamed Heikal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Care Associates, Inc

50 mi

General Practice

340 W TENTH ST
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
1,781 clinicians in this Medicare group

NPI 1902032832 (317) 278-3505

Iu Health Medical Group, LLC

50 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

Community Physicians Of Indiana Inc

59 mi

Family Medicine

7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256

Reassigned Medicare billing, Indiana enrollment
2,087 clinicians in this Medicare group

NPI 1619105244 (317) 355-5555

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 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 3

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

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151306

Location642 W Hospital RdPaoli, IN 47454 · Orange 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

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers338 claims338 services$15.64 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

7 suppliers44 claims44 services$9.38 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

12 suppliers141 claims141 services$10.47 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

16 suppliers1,187 claims3,000 services$1.72 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

7 suppliers154 claims154 services$5.20 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

10 suppliers158 claims158 services$10.92 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier158 claims158 services$15.09 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$45.93 avg. paid by Medicare

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$46.77 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

6 suppliers151 claims151 services$79.03 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

1 supplier20 claims20 services$204.17 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

6 suppliers52 claims52 services$111.51 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers229 claims229 services$11.17 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

12 suppliers661 claims661 services$28.43 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers281 claims281 services$68.04 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$32.36 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.

Which organizations bill Medicare for Mohamed Heikal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Heikal reassigns Medicare benefits to 3 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Community Physicians Of Indiana Inc (Indianapolis, IN). 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 Mohamed Heikal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Heikal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 1 other insurer 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, Indiana University Health and Indiana University Health Paoli Hospital.

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 17 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.