Individual provider Active NPI

Michael Heichen, MD

  • Emergency Medicine Physician
  • Edinburg, TX
National Provider Identifier
1124048483
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K7759 Issued in TX
Practice address
1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone
(956) 388-6500
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K7759 TX Primary

Addresses

Primary practice location

1102 W Trenton Rd
Edinburg, TX 78539-9105

Mailing address

5603 Wagon Train CV
Austin, TX 78749-2158
Phone (512) 301-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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
I20041210000472 LA Practitioner - Emergency MedicinePractitioner - Family Practice 8123085297 Reassigns benefits to 2 organizations
I20060221000355 TX Practitioner - Emergency Medicine 8123085297 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7759TXMDDiagnostic Neuroimaging (Radiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
South Central Physicians PLLC CurrentSince Aug 15, 2020 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Apr 11, 2020 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Aug 15, 2020 Accepting new patients
Chamizal Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Cor Emergency Physicians Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients
Patriot Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Austin Premier Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

101 Avenue J
Anson, TX 79501
Phone (325) 823-3231

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

Organizations & group practices 11

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1124048483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 WAGON TRAIN CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787492158",
            "telephone_number": "512-301-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399105",
            "telephone_number": "956-388-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEICHEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K7759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.