DR. SAMUEL RODNEY HEISER (M.D.) – Surgery Physician, NPI 1912092388

DR. SAMUEL RODNEY HEISER (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 01040362A (IN). The NPI Number for DR. SAMUEL RODNEY HEISER (M.D.) is 1912092388

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL RODNEY HEISER (M.D.)
NPI
1912092388
Phone
(317) 770-6900
Address
PO BOX 775985
Enumeration Date
3 October 2006
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3177705842
Graduation Year
1987 (39 years ago)
PAC ID
2668376435
Group Practice PAC ID
1153216627
Professional Enrollment ID
I20101228000362
Address ID
IN460601442NO355XXRDXX303

Contacts

Secure Messaging
sheiser791493@DirectC.mercy.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

729 GENERAL SURGERY in IN

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Provider Addresses for DR. SAMUEL RODNEY HEISER (M.D.)

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606775985

    Phone: (317) 770-6900

    Fax: (317) 770-6911

    Type: Mailing

  • PO BOX 843022

    KANSAS CITY, MO 641843022

    Phone: (317) 770-6900

    Fax: (317) 770-6911

    Type: Mailing

  • Westfield Road, Noblesville, Hamilton County, Indiana, 46060, United States

    STE 120

    NOBLESVILLE, IN 460601443

    Phone: (317) 776-8748

    Fax: (317) 773-0314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101228000362IGeneral SurgeryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes2626$0
99213Established patient office or other outpatient visit, 20-29 minutes1917$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
49650Repair of groin hernia using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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Provider's Procedures

DR. SAMUEL RODNEY HEISER (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYIN19301Partial removal of breast1915
GENERAL SURGERYIN38900Lymph node imaging during surgery1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153216627View full group profile
NameSpecialtyState
-IL
Emergency MedicineIN
Internal MedicineIL
Nurse PractitionerIN
-OH
Emergency MedicineIN
Orthopedic SurgeryIN
Physician AssistantPA
Emergency MedicineTN
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is DR. SAMUEL RODNEY HEISER (M.D.)'s NPI number?
DR. SAMUEL RODNEY HEISER (M.D.)'s NPI is 1912092388 — the number used across U.S. healthcare to identify this provider.
Would DR. SAMUEL RODNEY HEISER (M.D.) appear as active to a payer?
You can treat DR. SAMUEL RODNEY HEISER (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. SAMUEL RODNEY HEISER (M.D.)?
At a glance, DR. SAMUEL RODNEY HEISER (M.D.) is tied to Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SAMUEL RODNEY HEISER (M.D.)?
Travel planning: use Chicago, Illinois as the reference point for DR. SAMUEL RODNEY HEISER (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. SAMUEL RODNEY HEISER (M.D.) is noted as October 3, 2006 where the registry provides it.

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