KEVIN J HEATON (MD) – Internal Medicine Physician, NPI 1255771804

KEVIN J HEATON (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. L-255576 (MA). The NPI Number for KEVIN J HEATON (MD) is 1255771804

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J HEATON (MD)
NPI
1255771804
Phone
(617) 724-6620
Address
55 FRUIT ST.
Enumeration Date
27 June 2013
Last Update Date
27 June 2013

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
4587891809
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20160915000455
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for KEVIN J HEATON (MD)

  • 55 FRUIT ST.

    MASSACHUSETTS GENERAL HOSPITAL

    BOSTON, MA 02114

    Phone: (617) 724-6620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($110).

Total Amount

$143

General + Research + Ownership

Payments

6

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-09-15

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
I20160915000455IInternal MedicineMATBD

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
36415Insertion of needle into vein for collection of blood sample409295$0
99214Established patient office or other outpatient visit, 30-39 minutes368288$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit233233$0
99215Established patient office or other outpatient visit, 40-54 minutes7771$0
G0008Administration of influenza virus vaccine5453$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

Loading plans...

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: 9032020490View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify KEVIN J HEATON (MD) for billing?
Administrative and clinical systems typically use NPI 1255771804 for KEVIN J HEATON (MD).
Is KEVIN J HEATON (MD)'s NPI status active today?
Active status means KEVIN J HEATON (MD)'s NPI record is not deactivated in the public file.
What does the directory say KEVIN J HEATON (MD) does?
Insurance directories may phrase it differently, but here KEVIN J HEATON (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KEVIN J HEATON (MD) in Boston, Massachusetts?
For routing, start with Boston, Massachusetts for KEVIN J HEATON (MD), then verify phone and hours locally.
Can I export KEVIN J HEATON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

DR. JAN LORRAINE COOK (M.D.)

Internal Medicine Physician
30, Hobart Road, Chestnut Hill, Newton, Middlesex County, Massachusetts, 02159, United States
NPI: 1437152139

DR. ASHA ANANDAIAH (MD)

Pulmonary Disease Physician
Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States
NPI: 1184627481

DR. LORI M BALESTRERO (MD)

Internal Medicine Physician
Mount Auburn Hospital, 330, Mount Auburn Street, Coolidge Hill, Cambridge, Middlesex County, Massachusetts, 02138, United States
NPI: 1750384046

DR. JAMES STEWART EVANS (MD)

Internal Medicine Physician
Hawthorne Place, West End, Boston, Suffolk County, Massachusetts, 02222, United States
NPI: 1215939533

MEDSTAR GEORGETOWN MEDICAL CENTER, INC

Internal Medicine Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1285636522

DR. PO-SHUN LEE (MD)

Pulmonary Disease Physician
Boston Children's Hospital, 300, Blackfan Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States
NPI: 1740284702
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1093719700

CHRISTOPHER W SHANAHAN (M.D., M.P.H.)

Internal Medicine Physician
801 ALBANY ST FL G
NPI: 1730184854