NPIMap

Individual provider Active NPI

Michael J Heise, MD

  • Internal Medicine Physician
  • McMurray, PA
National Provider Identifier
1003804162
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD042242L Issued in PA
Practice address
160 Gallery Dr Ste 300
MC Murray, PA 15317-2690
Phone
(724) 941-7144
Fax
(724) 941-7625
NPI assigned
Oct 12, 2005
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD042242L PA Primary

Addresses

Primary practice location

160 Gallery Dr Ste 300
MC Murray, PA 15317-2690

Mailing address

160 Gallery Dr Ste 300
MC Murray, PA 15317-2690
Phone (724) 941-7144

Other practice location 1

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 941-7144

Other identifiers 1

IdentifierTypeStateIssuer
001237481MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mheise10909@direct.ahn.org
Direct Messaging Address mheise10909@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000309 PA Practitioner - Internal Medicine 4789651795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

160 Gallery Dr
Suite 300
MC Murray, PA 15317-2690
Phone (724) 941-7144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Barr Street Corporation Past Accepting new patients
Ahf/ Central States, Inc Past Accepting new patients
3590 Washington Pike Operations LLC Past Accepting new patients
Allegheny Medical Practice Network Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Greater Washington Radiologists, Inc. Past Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

160 Gallery Dr
Ste 300
McMurray, PA 15317
Phone (724) 941-7144

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

4815 Liberty Ave
Ste 154
Pittsburgh, PA 15224
Phone (412) 578-4003

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1003804162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GALLERY DR STE 300",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GALLERY DR STE 300",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153179762",
            "country_code": "US",
            "telephone_number": "724-941-7144",
            "fax_number": "724-941-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042242L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001237481",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mheise10909@direct.ahn.org",
            "affiliation": "N",
            "address_1": "160 Gallery Dr Ste 300",
            "city": "Mc Murray",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153172690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mheise10909@direct.ahn.org",
            "affiliation": "N",
            "address_1": "100 Medical Blvd",
            "city": "Canonsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153179762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.