JAMES R. HEABERLIN M.D. – NPI #1043604960
Orthopaedic Surgery

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

JAMES HEABERLIN is an orthopaedic surgeon located in WAUWATOSA, WI. NPPES has assigned the NPI number 1043604960 to JAMES HEABERLIN on March 28, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XS0106X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Hand Surgery

The NPI profile was last updated on Aug 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES HEABERLIN below.

NPI Profile for
JAMES R. HEABERLIN

NPI Number
1043604960
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMES R. HEABERLIN
Credentials
M.D.
Primary location
2999 N MAYFAIR RD
WAUWATOSA, WI 53222-4306
Phone: (414) 479-7000 Fax: (414) 479-7001
2 Other location(s):
1740 W Taylor St
Chicago, IL 60612-7232
Phone: (866) 600-2273
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 649-6000
Mailing address
PO BOX 735044
CHICAGO, IL 60673-5044
Phone: (800) 326-2250 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JAMES HEABERLIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI100177689
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0106X
- Orthopaedic Surgery / Hand Surgery (Primary)
WI 75451
207X00000X
- Orthopaedic Surgery
WI 75451

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2900 W OKLAHOMA AVE,
MILWAUKEE, WI 77025-1669

Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2900 W OKLAHOMA AVE,
MILWAUKEE, WI 77025-1669

Additional Information

Education
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JAMES HEABERLIN is affiliated with the following medical group(s):
  • HOSPITAL
    • AURORA MEDICAL CENTER
      975 PORT WASHINGTON ROAD
      GRAFTON, WI 53024
    • AURORA ST LUKES MEDICAL CENTER
      2900 W OKLAHOMA AVE
      MILWAUKEE, WI 53215
    • WEST ALLIS MEMORIAL HOSPITAL
      8901 W LINCOLN AVE
      WEST ALLIS, WI 53227

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.