LUKE HARRISON HEIL MD
NPI 1609454784
Pediatrics in St. Louis, MO

Q: What is Luke Heil's NPI number?

The NPI number for Luke Heil is 1609454784. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Luke Heil's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Luke Heil was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2021PECOS Enrolled

1 CHILDRENS PL MSC 8116-0043-14, ST. LOUIS, MO 63110(859) 218-2509(859) 323-3499 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 13, 2024, Jun 6, 2024, Jul 8, 2021 and 1 more (4 updates tracked since 2021).

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About Luke Harrison Heil Md NPPES

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

LUKE HARRISON HEIL MD (NPI 1609454784) is an individual pediatrics provider in St. Louis, Missouri, licensed in Missouri (2026010226) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609454784

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameLUKE HARRISON HEILCredential: MD

Location Address1 CHILDRENS PL MSC 8116-0043-14St. Louis, MO 63110

Mailing Address1 Childrens Pl Msc 8116-0043-14St Louis, MO 63110 · (314) 454-2694 · Fax (844) 231-8913

Phone(859) 218-2509

Fax(859) 323-3499

Sole ProprietorNo

Enumeration DateMarch 31, 2021

Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1609454784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2026010226

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 CHILDRENS PL MSC 8116-0043-14, St. Louis, MO 63110

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Harrison Heil Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Luke Heil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky

310 mi

General Practice

2195 HARRODSBURG RD STE 175
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
1,761 clinicians in this Medicare group

NPI 1194852582 (859) 257-9272

Kentucky Medical Services Foundation, Inc

315 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 6

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

SUSAN MORAND MD

Pediatrics

1 CHILDRENS PL MSC 8116-0043-14
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2094

TEVON HOOD DO

Pediatrics

1 CHILDRENS PL MSC 8116-0043-14
ST. LOUIS, MO 63110

St. Louis City (314) 454-2694

MARIA FERNANDA VILLAVICENCIO JIMENEZ MD

Pediatrics

1 CHILDRENS PL MSC 8116-0043-14
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2094

DR. IGOR MIKHEEV MD

Pediatrics

1 CHILDRENS PL MSC 8116-0043-14
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2094

KYLE JAMES WHITTINGTON MD

Pediatrics

1 CHILDRENS PL MSC 8116-0043-14
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2094

GRACE ANNA ROSE MILLS MD

Pediatrics

1 CHILDRENS PL MSC 8116-0043-14
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2094

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 Luke Heil's NPI number?

The NPI number for Luke Heil is 1609454784. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Luke Heil located?

Luke Heil practices at 1 Childrens Pl Msc 8116-0043-14, St. Louis, MO 63110. The listed phone number is (859) 218-2509.

What is Luke Heil's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luke Heil enrolled in Medicare?

Yes. Luke Heil is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luke Heil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Heil reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Luke Heil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Heil accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Luke 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.

When was this NPI record last updated?

The NPPES record for Luke Heil was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.