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DR. ROSS AUGUST HEIL D.O.
NPI 1265669709
Internal Medicine - Gastroenterology in Goshen, IN

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment
1615 WINSTED DR, STE 1, GOSHEN, IN 46526(574) 537-1625 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Jan 12, 2021, Dec 13, 2016 (3 updates tracked since 2016).

About Dr. Ross August Heil D.o. NPPES

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

DR. ROSS AUGUST HEIL D.O. (NPI 1265669709) is an individual gastroenterology provider in Goshen, Indiana, licensed in Indiana (02004580A) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1265669709
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ROSS AUGUST HEILCredential: D.O.
Location Address1615 WINSTED DR, STE 1Goshen, IN 46526-4696
Mailing Address1615 Winsted Dr, Ste 1Goshen, IN 46526-4696
Phone(574) 537-1625
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 11, 2009
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1265669709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IN · 02004580A
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1615 WINSTED DR, Goshen, IN 46526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Ross August Heil D.o. 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 ID4284945502
PECOS Enrollment IDI20150612000833
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 8

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
168 services168 patients
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.
109 services82 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
104 services96 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
53 services53 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
43 services29 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.
33 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARI BOWLBY
Physical Therapist
1615 WINSTED DR
GOSHEN, IN 46526
Elkhart County (574) 534-4648
MRS. LISA M. KIM PTA
Physical Therapy Assistant
1615 WINSTED DR, SUITE 3
GOSHEN, IN 46526
Elkhart County (574) 534-4648
DR. MEGAN NICHOLE HEIL D.O.
Ophthalmology
1615 WINSTED DR
GOSHEN, IN 46526
Elkhart County (574) 533-8633
MICHIANA PHYSICAL MEDICINE PC
Physical Therapist
1615 WINSTED DR, SUITE 3
GOSHEN, IN 46526
Elkhart County (574) 534-4648
BOLING VISION CENTER, LLC
Eyewear Supplier
1615 WINSTED DR
GOSHEN, IN 46526
Elkhart County (574) 533-9633
DR. SADAT RASHID M.D.
Internal Medicine (Gastroenterology)
1615 WINSTED DR, STE 1
GOSHEN, IN 46526
Elkhart County (574) 537-1625
DR. WILLIAM Z KING O.D.
Optometrist
1615 WINSTED DR
GOSHEN, IN 46526
Elkhart County (574) 533-8633
ANDREW SCHWARTZ PTA
Physical Therapy Assistant
1615 WINSTED DR, SUITE 3
GOSHEN, IN 46526
Elkhart County (574) 534-4648

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 Ross Heil's NPI number?

The NPI number for Ross Heil is 1265669709. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Ross Heil located?

Ross Heil practices at 1615 Winsted Dr Ste 1, Goshen, IN 46526. The listed phone number is (574) 537-1625.

What is Ross Heil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ross Heil enrolled in Medicare?

Yes. Ross Heil 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 Ross Heil accept?

Health plans from CareSource list Ross Heil 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 Ross Heil affiliated with any hospitals?

According to CMS data, Ross Heil is affiliated with Elkhart General Hospital and Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Ross Heil was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.