CRAIG WILLIAM HEISE JR. M.D.
NPI 1629398912
Family Medicine in Phoenix, AZ
About Craig William Heise Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIG WILLIAM HEISE JR. M.D. (NPI 1629398912) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (45475) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 3
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
Craig William Heise Jr. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Craig Heise reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85006
- Reassigned Medicare billing, Arizona enrollment
- 199 clinicians in this Medicare group
Phoenix, AZ 85034
- Reassigned Medicare billing, Arizona enrollment
- 3 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 728 clinicians in this Medicare group
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 553 clinicians in this Medicare group
Phoenix, AZ 85020
- Reassigned Medicare billing, Arizona enrollment
- 2 clinicians in this Medicare group
Phoenix, AZ 85029
- Reassigned Medicare billing, Arizona enrollment
- 5 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 289 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85006 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.
PHOENIX, AZ 85006
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 Craig Heise's NPI number?
The NPI number for Craig Heise is 1629398912. It was assigned to this individual provider in the NPPES registry on June 9, 2010.
Where is Craig Heise located?
Craig Heise practices at 1300 N 12th St Suite 605, Phoenix, AZ 85006. The listed phone number is (602) 839-2668.
What is Craig Heise's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Craig Heise enrolled in Medicare?
Yes. Craig Heise 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 Craig Heise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Craig Heise reassigns Medicare benefits to 7 organizations: Emergency Professional Services PC (Phoenix, AZ), Bhg Lxxxv, LLC (Phoenix, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Banner - University Physician Specialists LLC (Phoenix, AZ), Sanctuary Sober Living LLC (Phoenix, AZ) and 2 more organizations, 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 Craig Heise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Craig Heise accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list Craig Heise 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 Craig Heise was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Craig William Heise Jr., M.D. · NPI 1629398912
Family Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 9, 2010.
## Identity
- **NPI:** 1629398912 (Entity type: Individual)
- **Enumerated:** June 9, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 45475 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 N 12TH ST, SUITE 605, Phoenix, AZ 85006-2848
- **Phone:** (602) 839-2668 · **Fax:** (602) 839-2067
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Emergency Professional Services PC (NPI 1518984210, Phoenix, AZ); Bhg Lxxxv, LLC (NPI 1871203893, Phoenix, AZ); Banner - University Hospital Based Physicians LLC (NPI 1750751566, Phoenix, AZ); Banner - University Physician Specialists LLC (NPI 1417312760, Phoenix, AZ); Sanctuary Sober Living LLC (NPI 1629649132, Phoenix, AZ); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** August 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629398912) · Data from the CMS NPPES public registry.