DR. JENNIFER REBECCA HEIMALL (MD) – Pediatric Allergy/Immunology Physician, NPI 1104023316

DR. JENNIFER REBECCA HEIMALL (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. MD440044 (PA). The NPI Number for DR. JENNIFER REBECCA HEIMALL (MD) is 1104023316

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER REBECCA HEIMALL (MD)
NPI
1104023316
Phone
(267) 425-9234
Address
100 E PENN SQ
Enumeration Date
29 June 2007
Last Update Date
15 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2155901000
Graduation Year
2002 (24 years ago)
PAC ID
1658405386
Group Practice PAC ID
1355253527
Professional Enrollment ID
I20100817001364
Address ID
PA191044319PH3401XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

216 ALLERGY/IMMUNOLOGY in PA

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Provider Addresses for DR. JENNIFER REBECCA HEIMALL (MD)

  • 100, East Penn Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States

    9TH FLOOR

    PHILADELPHIA, PA 191073323

    Phone: (267) 425-9234

    Fax: (267) 425-9299

    Type: Mailing

  • Market Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19139, United States

    CHILDRENS HOSPITAL OF PHILADELPHIA - ALLERGY AND IMMUN

    PHILADELPHIA, PA 191043365

    Phone: (215) 590-2549

    Fax: (215) 590-4529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $18,693.

Total Amount is formed as General ($18,693) + Research ($0) + Ownership ($0) = $18,693.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: CSL Behring ($12,390).

Total Amount

$18,693

General + Research + Ownership

Payments

19

Total payment records

General Amount

$18,693

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

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: 2010-08-17

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
I20100817001364IAllergy/ImmunologyPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19107)

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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: 1355253527View full group profile

Reviews

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Frequently asked questions

Does DR. JENNIFER REBECCA HEIMALL (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JENNIFER REBECCA HEIMALL (MD) uses 1104023316.
Is DR. JENNIFER REBECCA HEIMALL (MD) listed as active for patients and plans?
The listing shows DR. JENNIFER REBECCA HEIMALL (MD) as active in the NPI system.
What is DR. JENNIFER REBECCA HEIMALL (MD)'s specialty?
The listing groups DR. JENNIFER REBECCA HEIMALL (MD) with Pediatric Allergy/Immunology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JENNIFER REBECCA HEIMALL (MD)?
DR. JENNIFER REBECCA HEIMALL (MD)'s geographic hint is Philadelphia, Pennsylvania in our summary view.
Why does DR. JENNIFER REBECCA HEIMALL (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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