DR. JOSHUA L HELLER M.D.
NPI 1295711547
Emergency Medicine in Germantown, MD

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
19801 OBSERVATION DR, EMERGENCY DEPT, GERMANTOWN, MD 20876(303) 557-6500(888) 741-9868 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joshua L Heller M.d. NPPES

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

DR. JOSHUA L HELLER M.D. (NPI 1295711547) is an individual emergency medicine provider in Germantown, Maryland, licensed in Colorado (37058) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of George Washington University School Of Medicine (1995).

NPPES Registry Identity

NPI1295711547
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSHUA L HELLERCredential: M.D.
Location Address19801 OBSERVATION DR, EMERGENCY DEPTGermantown, MD 20876-4070
Mailing Address19801 Observation Dr, Emergency DeptGermantown, MD 20876-4070 · (303) 557-6500 · Fax (888) 741-9868
Fax(888) 741-9868
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1995
Enumeration DateDecember 19, 2005
Last NPPES UpdateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1295711547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CO · 37058✔ Licensed in MD · D76013
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License D76013 (MD)
19801 OBSERVATION DR, Germantown, MD 20876

Other Identifiers 1

Medicaid94774285CO

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. Joshua L Heller 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.

PECOS PAC ID5890762512
PECOS Enrollment IDI20141210000201, I20170821002354
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

6

Medicare enrollment records show Joshua Heller reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
19801 OBSERVATION DR
Germantown, MD 20876
  • Reassigned Medicare billing, District of Columbia enrollment
  • 105 clinicians in this Medicare group
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 251 clinicians in this Medicare group
Critical Care Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 80 clinicians in this Medicare group
Urgent Care
11915 GEORGIA AVE
Wheaton, MD 20902
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 309 clinicians in this Medicare group
Emergency Medicine
11901 BARON CAMERON AVE
Reston, VA 20190
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,150 clinicians in this Medicare group
Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, District of Columbia enrollment
  • 347 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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
520 services488 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
137 services133 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
135 services130 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

Physician Assistant
19801 OBSERVATION DR
GERMANTOWN, MD 20876
Nurse Practitioner (Family)
19801 OBSERVATION DR
GERMANTOWN, MD 20876
Registered Nurse
19801 OBSERVATION DR
GERMANTOWN, MD 20876
Dietitian, Registered
19801 OBSERVATION DR
GERMANTOWN, MD 20876
Podiatrist (Foot & Ankle Surgery)
19801 OBSERVATION DR
GERMANTOWN, MD 20876
Counselor (Professional)
19801 OBSERVATION DR
GERMANTOWN, MD 20876
Registered Nurse (Critical Care Medicine)
19801 OBSERVATION DR
GERMANTOWN, MD 20876
Internal Medicine
19801 OBSERVATION DR
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 Joshua Heller's NPI number?

The NPI number for Joshua Heller is 1295711547. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Joshua Heller located?

Joshua Heller practices at 19801 Observation Dr Emergency Dept, Germantown, MD 20876. The listed phone number is (303) 557-6500.

What is Joshua Heller's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joshua Heller enrolled in Medicare?

Yes. Joshua Heller 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 Joshua Heller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Heller reassigns Medicare benefits to 6 organizations: Cep America LLC (Germantown, MD), Mep Health, LLC (Rockville, MD), Usacs Critical Care Medicine Services East, LLC (Rockville, MD), Medstar Urgent Care, LLC (Wheaton, MD), Emergency Medicine Associates P.A., P.C. (Reston, VA) and 1 more organization, listed in the Medicare section above. 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 Joshua Heller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joshua Heller affiliated with any hospitals?

According to CMS data, Joshua Heller is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Joshua Heller was last updated on June 21, 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.