Active NPI
Michael Vincent Heilman, PA-C
- Physician Assistant
- Ocean View, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0012057
- Practice address
- 96 Atlantic Ave Ste 101
Ocean View, DE 19970-9103 - Phone
- (302) 541-4460
- Fax
- (302) 541-0124
- NPI assigned
- Apr 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C5-0012057 | DE | |
| Physician Assistant | 363A00000X | C0009370 | MD | |
| Medical Physician Assistant | 363AM0700X | C0009370 | MD | |
| Physician Assistant | 363A00000X | C5-0012057 | DE | Primary |
Addresses
Primary practice location
96 Atlantic Ave Ste 101
Ocean View, DE 19970-9103
Mailing address
10026 Old Ocean City Blvd
Berlin, MD 21811-9515
Phone (410) 641-9450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30265 Commerce Dr
Unit 206
Millsboro, DE 19966-3595
Phone (302) 732-8400
38394 Dupont Blvd
Unit H
Selbyville, DE 19975-3049
Phone (302) 524-5007
96 Atlantic Ave
Suite 101
Ocean View, DE 19970-9103
Phone (302) 541-4460
Hospital & facility affiliations
- Amedisys Home Health
- Aveanna Home Healthcare
- Beebe Hospital Home Health
- Christianacare Homehealth
- Beebe Medical Center
- Atlantic General Hospital
- Tidalhealth Peninsula Regional, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012057 | DE | MD | Physician Assistant |
| C0009370 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Tidalhealth Primary Care, LLC | Current | Accepting new patients | |
| Atlantic Immedicare LLC | Past | Accepting new patients |
Locations
30668 Sussex Hwy
Laurel, DE 19956
Phone (302) 251-8870
30265 Commerce Dr
Unit 206
Millsboro, DE 19966
Phone (302) 732-8400
96 Atlantic Ave
Ste 101
Ocean View, DE 19970
Phone (302) 541-4460
38394 DuPont Blvd
Unit H
Selbyville, DE 19975
Phone (302) 524-5007
9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100
Interoperability endpoints
- michaelheilman@agh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Georgetown, DE
- NPI 1417021700
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- Home Health Agency
- Smyrna, DE
- NPI 1841293438
-
- Home Health Agency
- Milford, DE
- NPI 1487706263
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1043066616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10026 OLD OCEAN CITY BLVD",
"city": "BERLIN",
"state": "MD",
"postal_code": "218119515",
"telephone_number": "410-641-9450",
"fax_number": "410-641-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 ATLANTIC AVE STE 101",
"city": "OCEAN VIEW",
"state": "DE",
"postal_code": "199709103",
"telephone_number": "302-541-4460",
"fax_number": "302-541-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILMAN",
"first_name": "MICHAEL",
"middle_name": "VINCENT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-25",
"last_updated": "2024-10-29",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DE",
"license": "C5-0012057",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0009370",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0009370",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocean View, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.