DOUGLAS L HEINTZELMAN M.D.
NPI 1811935125
Radiology - Diagnostic Radiology in Columbus, OH
About Douglas L Heintzelman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS L HEINTZELMAN M.D. (NPI 1811935125) is an individual diagnostic radiology provider in Columbus, Ohio, licensed in Massachusetts (219212) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses
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
Douglas L Heintzelman 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
2Medicare enrollment records show Douglas Heintzelman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shenandoah, TX 77380
- Reassigned Medicare billing, Ohio and Texas enrollments
- Also billed through NPI 1487811766 (Texas)
- 35 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 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.
Areas of Expertise CMS Part B claims 33
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi St Luke's Health Baylor College Of Medicine Me
Acute Care Hospitals · Houston, TXSt Luke's The Woodlands Hospital
Acute Care Hospitals · The Woodlands, TXSt Luke's Patients Medical Center
Acute Care Hospitals · Pasadena, TXSt Luke's Sugar Land Hospital
Acute Care Hospitals · Sugar Land, TXSt Luke's Hospital At The Vintage
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
COLUMBUS, OH 43214
COLUMBUS, OH 43214
COLUMBUS, OH 43214
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 Douglas Heintzelman's NPI number?
The NPI number for Douglas Heintzelman is 1811935125. It was assigned to this individual provider in the NPPES registry on June 2, 2006.
Where is Douglas Heintzelman located?
Douglas Heintzelman practices at 3525 Olentangy River Rd Ste 5360, Columbus, OH 43214. The listed phone number is (614) 340-7747.
What is Douglas Heintzelman's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Douglas Heintzelman enrolled in Medicare?
Yes. Douglas Heintzelman 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 Douglas Heintzelman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Heintzelman reassigns Medicare benefits to 2 organizations: Singleton Associates PA (Shenandoah, TX) and Baylor College Of Medicine (Houston, TX). 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 Douglas Heintzelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Heintzelman accept?
Health plans from Blue Cross and Blue Shield of Texas, CareSource, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Douglas Heintzelman 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 Douglas Heintzelman affiliated with any hospitals?
According to CMS data, Douglas Heintzelman is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, St Luke's The Woodlands Hospital, St Luke's Patients Medical Center, St Luke's Sugar Land Hospital and St Luke's Hospital At The Vintage.
When was this NPI record last updated?
The NPPES record for Douglas Heintzelman was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.