Individual provider Active NPI

Michael Vincent Heilman, PA-C

  • Physician Assistant
  • Ocean View, DE
National Provider Identifier
1043066616
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0012057 Issued in DE
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

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724004551 DE Practitioner - Physician Assistant 5698211753 Reassigns benefits to 2 organizations

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
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

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 Home health agency, Georgetown, DE, CCN 087034
  • Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
  • Beebe Hospital Home Health Home health agency, Millsboro, DE, CCN 087023
  • Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0012057DEMDPhysician Assistant
C0009370MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Atlantic, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Mar 1, 2026 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.