Individual provider Active NPI

James E Heisel, M.D.

  • Diagnostic Radiology Physician
  • Jackson, MI
National Provider Identifier
1033110549
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301052972 Issued in MI
Practice address
205 N East Ave
Imaging Department
Jackson, MI 49201-1753
Phone
(517) 783-2612
Fax
(517) 783-5991
NPI assigned
Aug 9, 2005
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301052972 MI Primary

Addresses

Primary practice location

205 N East Ave
Imaging Department
Jackson, MI 49201-1753

Mailing address

2800 Spring Arbor Rd Ste 102
PO Box 905
Jackson, MI 49203-3895
Phone (517) 783-2612

Other identifiers 4

IdentifierTypeStateIssuer
3003858362OtherMIBCBS OF MICHIGAN
3146869MedicaidMI
4301052972OtherMISTATE OF MICHIGAN MEDICAL LICENSE
300050548OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100520000988 MI Practitioner - Diagnostic Radiology 7315928355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Radiology Consultants P CGroup PAC ID 1254312267, 11 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753
Phone (517) 783-2612

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301052972MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Radiology Consultants, P C Diagnostic Radiology CurrentSince Jul 1, 1995 Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

2800 Spring Arbor Rd
Ste 102
Jackson, MI 49203
Phone (517) 782-0200

Interoperability endpoints

  • Direct secure messaging: jheisel451751@direct.hfhs.org

Organizations & group practices 1

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 2

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1033110549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SPRING ARBOR RD STE 102",
            "address_2": "PO BOX 905",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033895",
            "telephone_number": "517-783-2612",
            "fax_number": "517-783-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "address_2": "IMAGING DEPARTMENT",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-783-2612",
            "fax_number": "517-783-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISEL",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301052972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "3003858362",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3146869",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN MEDICAL LICENSE",
            "identifier": "4301052972",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300050548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.