NATHAN DAVID HEINEMAN MD
NPI 1568923688
Orthopaedic Surgery - Hand Surgery in Smithfield, NC
About Nathan David Heineman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN DAVID HEINEMAN MD (NPI 1568923688) is an individual hand surgery provider in Smithfield, North Carolina, licensed in North Carolina (2025-01448) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Dallas.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Nathan David Heineman 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.
Medicare Billing Reassignment
Medicare enrollment records show Nathan Heineman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 300 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johnston Health
Acute Care Hospitals · Smithfield, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nathan Heineman's NPI number?
The NPI number for Nathan Heineman is 1568923688. It was assigned to this individual provider in the NPPES registry on March 29, 2019.
Where is Nathan Heineman located?
Nathan Heineman practices at 100 Kellie Dr, Smithfield, NC 27577. The listed phone number is (919) 220-5255.
What is Nathan Heineman's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.
Is Nathan Heineman enrolled in Medicare?
Yes. Nathan Heineman 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 organization bills Medicare for Nathan Heineman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Heineman reassigns Medicare benefits to Emergeortho PA (Durham, NC). The 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 Nathan Heineman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Heineman accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Nathan Heineman 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 Nathan Heineman affiliated with any hospitals?
According to CMS data, Nathan Heineman is affiliated with Johnston Health.
When was this NPI record last updated?
The NPPES record for Nathan Heineman was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Nathan David Heineman, MD · NPI 1568923688
Hand Surgery physician in Smithfield, North Carolina. Individual provider, active in the CMS NPPES registry since March 29, 2019.
## Identity
- **NPI:** 1568923688 (Entity type: Individual)
- **Enumerated:** March 29, 2019
- **Primary specialty:** Orthopaedic Surgery - Hand Surgery · taxonomy 207XS0106X
- **State license:** 2025-01448 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 KELLIE DR, Smithfield, NC 27577-9444
- **Phone:** (919) 220-5255
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergeortho PA (NPI 1376592964, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2019
## Record status
- **NPPES last updated:** June 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568923688) · Data from the CMS NPPES public registry.