ANDREAS E HELLER MD
NPI 1528066560
Hospitalist in Fresno, CA

Q: What is Andreas Heller's NPI number?

The NPI number for Andreas Heller is 1528066560. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Andreas Heller's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Andreas Heller was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment

85.78/100

CMS Quality Rating

1303 E HERNDON AVE, FRESNO, CA 93720(559) 450-5672(559) 450-4086 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Andreas E Heller Md NPPES

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

ANDREAS E HELLER MD (NPI 1528066560) is an individual hospitalist provider in Fresno, California, licensed in California (G84414) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1528066560

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameANDREAS E HELLERCredential: MD

Location Address1303 E HERNDON AVEFresno, CA 93720-3309

Mailing Address8708 N Fuller AveFresno, CA 93720-1656 · (559) 696-8137 · Fax (559) 450-4086

Phone(559) 450-5672

Fax(559) 450-4086

Sole ProprietorYes

Medical School CMSWashington University School Of MedicineGraduated 1990

Enumeration DateJuly 13, 2005

Last NPPES UpdateJanuary 31, 2019

✔ NPI 1528066560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · G84414

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License G84414 (CA)

1303 E HERNDON AVE, Fresno, CA 93720

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Other Identifiers 1

Medicaid00G844141CA

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

Andreas E Heller 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 ID8123153335

PECOS Enrollment IDI20100312000717

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 Andreas Heller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vituity Hospitalists PC

Same address

Hospitalist

1303 E HERNDON AVE
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
182 clinicians in this Medicare group

NPI 1285111658 (559) 450-3000

Saint Agnes Medical Center

Same address

General Acute Care Hospital

1303 E HERNDON AVE
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
181 clinicians in this Medicare group

NPI 1205845567 (559) 450-3000

Galen Inpatient Physicians PC

0.4 mi

Hospitalist

1303 E HERNDON AVE
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
962 clinicians in this Medicare group

NPI 1407679194 (559) 450-3000

Community Foundation Medical Group

2.4 mi

Internal Medicine

7370 N PALM AVE STE 101
Fresno, CA 93711

Reassigned Medicare billing, California enrollment
508 clinicians in this Medicare group

NPI 1003329491 (559) 228-5400

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 3

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.

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.

176 services85 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

45 services39 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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.

85.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.3

Promoting Interoperability

100

Improvement Activities

Cost

61.3

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

90%252 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers27 claims27 services$765.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MINA EMAD HANDAL MD

Student in an Organized Health Care Education/Training Program