DR. HEIKKI UUSTAL M.D.
NPI 1952328635
Physical Medicine & Rehabilitation in Edison, NJ

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
65 JAMES ST, EDISON, NJ 08820(732) 321-7070(732) 321-7330 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Heikki Uustal M.d. NPPES

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

DR. HEIKKI UUSTAL M.D. (NPI 1952328635) is an individual physical medicine & rehabilitation provider in Edison, New Jersey, licensed in New Jersey (25MA04979600) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of University Of Vermont College Of Medicine (1984).

NPPES Registry Identity

NPI1952328635
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. HEIKKI UUSTALCredential: M.D.
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address65 James StEdison, NJ 08820-3947 · (732) 321-7070 · Fax (732) 321-7330
Fax(732) 321-7330
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1984
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 18, 2016
NPI 1952328635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NJ · 25MA04979600
Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Also ListedSpecialistTaxonomy 174400000X · License 25MA4979600 (NJ)
65 JAMES ST, Edison, NJ 08820

Other Identifiers 3

Medicaid3678008NJ
Medicare UPINE13384NJ
Medicare ID-Type UnspecifiedUU556997NJ

Accepted 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

Dr. Heikki Uustal 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.

PECOS PAC ID3870626302
PECOS Enrollment IDI20100804000030
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
487 services255 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
252 services147 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
96 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier15 claims26 services$57.79 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier15 claims24 services$37.41 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers13 claims307 services$7.11 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
3 suppliers13 claims348 services$3.15 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers15 claims1,815 services$0.38 avg. paid by Medicare
Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, includes fitting and adjustment L1951
DME-Orthotic Devices · category DF003N
1 supplier15 claims18 services$684.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820

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 Heikki Uustal's NPI number?

The NPI number for Heikki Uustal is 1952328635. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Heikki Uustal located?

Heikki Uustal practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7070.

What is Heikki Uustal's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Heikki Uustal enrolled in Medicare?

Yes. Heikki Uustal 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 Heikki Uustal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Heikki Uustal 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 Heikki Uustal affiliated with any hospitals?

According to CMS data, Heikki Uustal is affiliated with Overlook Medical Center, Saint Peter's University Hospital, Jfk Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Heikki Uustal was last updated on January 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.