Individual provider Active NPI

Heba R Tajwar, M.D.

  • Obstetrics & Gynecology Physician
  • Wayne, MI
National Provider Identifier
1114238714
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301506267 Issued in MI
Practice address
33155 Annapolis St
Wayne, MI 48184-2405
Phone
(734) 467-4000
Fax
(734) 467-4017
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD120260 FL
Obstetrics & Gynecology Physician 207V00000X 4301506267 MI Primary
Obstetrics & Gynecology Physician 207V00000X MD462324 PA

Addresses

Primary practice location

33155 Annapolis St
Wayne, MI 48184-2405

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1848

Other practice location 1

10067 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 430-7777

Other practice location 2

1155 East Mountain Blvd.
Wilkes Barre, PA 18702-3377
Phone (570) 808-7916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171024000341 PA Practitioner - Obstetrics/Gynecology 4688963960 Reassigns benefits to 1 organization
I20220712000396 MI Practitioner - Obstetrics/Gynecology 4688963960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484

26901 Beaumont Blvd
Southfield, MI 48033-3849

PO Box
Suite 778920
Chicago, IL 60677-0812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD120260FLMDObstetrics & Gynecology Physician
4301506267MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 1, 2017 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 1, 2022 Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Mar 13, 2026 Accepting new patients
Geisinger Clinic Current Accepting new patients
Iha Olma Specialty 1 LLC Obstetrics & Gynecology CurrentSince Mar 13, 2026 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: htajwar1258279@epic00.shdirect.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1114238714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1848",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33155 ANNAPOLIS ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842405",
            "telephone_number": "734-467-4000",
            "fax_number": "734-467-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10067 Pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33024",
            "country_code": "US",
            "telephone_number": "954-430-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 East Mountain Blvd.",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187023377",
            "country_code": "US",
            "telephone_number": "570-808-7916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAJWAR",
        "first_name": "HEBA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "MD120260",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301506267",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD462324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.