TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1972302610

TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) is a healthcare provider. based in Suffolk, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 0110010769 (VA). The NPI Number for TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) is 1972302610

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT)
NPI
1972302610
Phone
(757) 539-1533
Address
2016 MEADE PKWY
Enumeration Date
13 March 2025
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Secondary Phone
7575391533
Graduation Year
2025 (1 year ago)
PAC ID
7911423694
Group Practice PAC ID
3779736418
Professional Enrollment ID
I20250424003902
Address ID
VA234344259SU2016XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT)

  • 2016 MEADE PKWY

    SUFFOLK, VA 234344259

    Phone: (757) 539-1533

    Mailing address matches the actual address.

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: 2025-04-24

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
I20250424003902IPhysician AssistantVATBD

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 23434)

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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: 3779736418View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P T O M E T R YVA
O P H T H A L M O L O G YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What unique ID ties claims to TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT)?
NPI 1972302610 is assigned to TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) under the national enumeration system.
Is TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) currently active in the NPI registry?
CMS-published data lists TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) as an active registrant.
What does TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) treat or focus on?
Patients typically see TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT)?
The page summarizes Suffolk, Virginia for TYLER STEFAN HEINZ (PHYSICIAN ASSISTANT); expand the address list for detail.
What if Suffolk, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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