Mark Joseph Heinzelmann, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

4301046103 Issued in MI

Practice address

4701 Towne Centre, Suite 104
Saginaw, MI 48604-8200

Phone

(989) 790-1390

Fax

(989) 790-1656

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mheinzelmann490@direct.covenanthealthcare.com

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

• Mid Michigan Surgical Specialists P C

  • Surgery Physician
  • Saginaw, MI
  • NPI 1528011921
  NPD (past)
• Satnam Medical PLLC

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1811132616
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1013005578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE, SUITE 104",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048200",
            "telephone_number": "989-790-1390",
            "fax_number": "989-790-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE, SUITE 104",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048200",
            "telephone_number": "989-790-1390",
            "fax_number": "989-790-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZELMANN",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301046103",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301046103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2656699",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mheinzelmann@drheinzelmann.com",
            "affiliation": "N",
            "address_1": "4701 Towne Centre, Suite 104",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486048200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Heilig
• Eric Peter Heim, D.D.S
• Sarah Jane Hein, FNP-BC
• Emilie Bethman Heineman Kuschinski, LMSW
• Allyson Nicole Heinz, BSW
• Robin Marie Heise-Kukulski
• Rachel Heise
• Hannah Heithoff
• David Alexander Heller
• Ann Helene Helmer, MSW, LMSW, ACSW

• Colon & Rectal Surgery Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Colon & Rectal Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.