Michael Alan Heidlebaugh, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q4766 Issued in TX

Practice address

2990 Greenfield Rd
Berkley, MI 48072-1160

Phone

(248) 797-6709

NPI assigned

May 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Emergency Medicine

Education

University of Washington School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basin Emergency Physicians PLLCGroup PAC ID 0244397826, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Merit-based Incentive Payment System (MIPS)

Final score

85.33 of 100Reported as group

Quality

74.13

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mheidlebaugh40807@shannonhealth.direct-ci.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.

• Basin Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Odessa, TX
  • NPI 1831337724
  Medicare reassignment Care Compare group NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Level One Emergency Physicians LLC

  • Emergency Medicine Physician
  • Denison, TX
  • NPI 1528790193
  Medicare reassignment NPD
• Truepartners Northwest Emergency Associates PLLC

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1912447319
  Medicare reassignment NPD
• Level One Emergency Specialists LLC

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1427780097
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1083933873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 GREENFIELD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721160",
            "telephone_number": "248-797-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 GREENFIELD RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721160",
            "telephone_number": "248-797-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDLEBAUGH",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian J Harris, BA, LSW, CAC, CBIS
• Jessica Hauser-Harrington, PHD
• Andrew Hauser, M.D.
• Joanna Healey, MSN AGACNP-BC
• Heather Marie Lactation, LLC
• Sarah Hekmati, LLMSW
• Heidi Hellwig
• Henry Ford Health System
• Klodia Hermez, DO
• Marvin A Herschfus, D.D.S.

• Emergency Medicine Physician in Berkley, MI
• Providers in Berkley, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.

Verify at the official NPI Registry.