Active NPI
Mitchell Robert Heide, PA
- Physician Assistant
- Chandler, AZ
National Provider Identifier
1073023248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6883
- Practice address
- 1455 W Chandler Blvd
Chandler, AZ 85224-6177 - Phone
- (480) 917-9208
- Fax
- (480) 814-7443
- NPI assigned
- Oct 2, 2017
- Last updated
- Oct 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6883 | AZ | Primary |
Addresses
Primary practice location
1455 W Chandler Blvd
Chandler, AZ 85224-6177
Mailing address
240 W Juniper Ave Unit 1057
Gilbert, AZ 85233-3980
Phone (480) 789-2399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6007 E Baseline Rd
Suite 105
Mesa, AZ 85206-4801
Phone (480) 897-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.72 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 62.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Urology Physician
- Gilbert, AZ
- NPI 1134319981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1073023248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W JUNIPER AVE UNIT 1057",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852333980",
"telephone_number": "480-789-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 W CHANDLER BLVD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246177",
"telephone_number": "480-917-9208",
"fax_number": "480-814-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDE",
"first_name": "MITCHELL",
"middle_name": "ROBERT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-02",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.