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NICOLE G HEATH
NPI 1942854930
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
5401 OLD YORK RD BLDG SUITE404, PHILADELPHIA, PA 19141(215) 456-7190(215) 456-7308 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2024, Jul 29, 2019 (2 updates tracked since 2019).

About Nicole G Heath NPPES

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

NICOLE G HEATH (NPI 1942854930) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD485735) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942854930
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameNICOLE G HEATH
Location Address5401 OLD YORK RD BLDG SUITE404Philadelphia, PA 19141-3030
Mailing Address1500 Lansdowne AveDarby, PA 19023-1200
Phone(215) 456-7190
Fax(215) 456-7308
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2019
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1942854930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD485735
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT219386 (PA)
5401 OLD YORK RD BLDG SUITE404, Philadelphia, PA 19141
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 Lansdowne AveDarby, PA 19023-1200 · Phone (610) 237-4000
Location 2111 E 210th StBronx, NY 10467-2401 · Phone (718) 430-3166

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole G Heath 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 ID6002349602
PECOS Enrollment IDI20241104001120
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.

Areas of Expertise CMS Part B claims 3

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
27 services17 patients
Measurement of brain wave activity (eeg), continuous 95700
Measurement of brain wave activity, or EEG, is a non-invasive procedure that records electrical patterns in your brain. This continuous monitoring helps to identify irregularities in brain function, aiding in diagnosis of conditions like epilepsy.
22 services19 patients
Measurement of brain wave activity (eeg), 61-119 minutes 95813
The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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

CONSTANTINE DEMETRIOS TROUPES MD, PHD
Surgery (Vascular Surgery)
5401 OLD YORK RD BLDG SUITE404
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6178

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 Nicole Heath's NPI number?

The NPI number for Nicole Heath is 1942854930. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Nicole Heath located?

Nicole Heath practices at 5401 Old York Rd Bldg Suite404, Philadelphia, PA 19141. The listed phone number is (215) 456-7190.

What is Nicole Heath's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nicole Heath enrolled in Medicare?

Yes. Nicole Heath 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.

What insurance does Nicole Heath accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicole Heath 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 Nicole Heath affiliated with any hospitals?

According to CMS data, Nicole Heath is affiliated with Albert Einstein Medical Center and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Nicole Heath was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.