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ALLISON HEINLY M.D.
NPI 1689967820
Pediatrics in Providence, RI

Active since May 20, 2011Opted out of Medicare · through May 8, 2028
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4471(401) 444-7574 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Allison Heinly M.d. NPPES

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

ALLISON HEINLY M.D. (NPI 1689967820) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD14669) and active in the NPI registry since May 2011. She has opted out of Medicare through May 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689967820
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALLISON HEINLYCredential: M.D.
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address2 Meehan LnCumberland, RI 02864-1413 · (401) 658-2525
Phone(401) 444-4471
Fax(401) 444-7574
Sole ProprietorNo
Enumeration DateMay 20, 2011
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1689967820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in RI · MD14669✔ Licensed in RI · LP02252
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.
593 EDDY ST, Providence, RI 02903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Allison Heinly M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 8, 2016 through May 8, 2028.

Opt-Out Effective DateMay 8, 2016
Opt-Out In Effect ThroughMay 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695
FANNY HUANG MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4741

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 Allison Heinly's NPI number?

The NPI number for Allison Heinly is 1689967820. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Where is Allison Heinly located?

Allison Heinly practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4471.

What is Allison Heinly's specialty?

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

Is Allison Heinly enrolled in Medicare?

No. Allison Heinly has opted out of Medicare through May 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Allison Heinly was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.