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DR. NIA MADHURA BHADRA-HEINTZ MD
NPI 1609304385
Obstetrics & Gynecology in Philadelphia, PA

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3701 MARKET ST, 3RD FL, PHILADELPHIA, PA 19104(215) 662-6035(215) 349-5228 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 25, 2025, Sep 15, 2022, Oct 21, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Nia Madhura Bhadra-heintz Md NPPES

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

DR. NIA MADHURA BHADRA-HEINTZ MD (NPI 1609304385) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD478128) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609304385
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. NIA MADHURA BHADRA-HEINTZCredential: MD
Location Address3701 MARKET ST, 3RD FLPhiladelphia, PA 19104-5502
Mailing Address3701 Market StPhiladelphia, PA 19104-5502 · (215) 662-6035 · Fax (215) 349-5228
Phone(215) 662-6035
Fax(215) 349-5228
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1609304385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD478128
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3701 MARKET ST, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Nia Madhura Bhadra-heintz 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 ID5890176895
PECOS Enrollment IDI20220722000573
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

2

Medicare enrollment records show Nia Bhadra-heintz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn-Medical Group
Same address
Reproductive Endocrinology
3701 MARKET ST, 8TH FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1245628353 (215) 662-6100
Trustees Of The University Of Pennsylvania
0.2 mi
Internal Medicine
51 N 39TH ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 199 clinicians in this Medicare group
NPI 1124882949 (215) 662-8000

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.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

HETA PATEL MD
Student in an Organized Health Care Education/Training Program
3701 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
HOSPITAL OF THE UNIVERSITY OF PA
Clinic/Center (Ambulatory Fertility Facility)
3701 MARKET ST
PHILA, PA 19104
Philadelphia County (215) 349-5150
REGINA ANN HALLIDAY CRNP
Nurse Practitioner (Women's Health)
3701 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
KAREN J LECKS CRNP
Nurse Practitioner (Obstetrics & Gynecology)
3701 MARKET ST, 8TH FL - REPRODUCTIVE RESEARCH
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7727
MICHAEL CIRIGLIANO MD
Internal Medicine
3701 MARKET ST, 7TH FL STE 741
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5200
SANKEY V WILLIAMS MD
Internal Medicine
3701 MARKET ST, STE 640 6TH FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3795
MICHAEL D GEORGE MD
Internal Medicine (Rheumatology)
3701 MARKET ST, 6TH FLOOR, SUITE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250
DR. DAVOREN ANN CHICK M.D.
Internal Medicine
3701 MARKET ST, STE 640
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2250

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 Nia Bhadra-heintz's NPI number?

The NPI number for Nia Bhadra-heintz is 1609304385. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Nia Bhadra-heintz located?

Nia Bhadra-heintz practices at 3701 Market St 3rd Fl, Philadelphia, PA 19104. The listed phone number is (215) 662-6035.

What is Nia Bhadra-heintz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nia Bhadra-heintz enrolled in Medicare?

Yes. Nia Bhadra-heintz 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 Nia Bhadra-heintz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nia Bhadra-heintz reassigns Medicare benefits to 2 organizations: University Of Penn-Medical Group (Philadelphia, PA) and Trustees Of The University Of Pennsylvania (Philadelphia, PA). 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 Nia Bhadra-heintz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nia Bhadra-heintz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nia Bhadra-heintz 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 Nia Bhadra-heintz affiliated with any hospitals?

According to CMS data, Nia Bhadra-heintz is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Nia Bhadra-heintz was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.