Michael Riley Heaphy Jr., M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

17674 Issued in NV

Practice address

4814 Sparks Blvd
Sparks, NV 89436

Phone

(775) 324-0699

Fax

(775) 323-6814

NPI assigned

Sep 20, 2006

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, ID, AK, WA, TX, OR6 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 6

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain West Derm - Blackhart PLLCGroup PAC ID 1153609813, shared by 7 NPIs, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mountain West Derm - Blackhart PLLC

  • MOHS-Micrographic Surgery Physician
  • Reno, NV
  • NPI 1740633015
  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Advanced Dermatology & Skin Surgery

  • Dermatology Physician
  • Spokane Valley, WA
  • NPI 1013557933
  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Alaska Center for Dermatology

  • Dermatology Physician
  • Anchorage, AK
  • NPI 1124670088
  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Vitalogy Skincare

  • Dermatology Physician
  • Georgetown, TX
  • NPI 1366018848
  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Bend Dermatology Clinic

  • Dermatology Physician
  • Bend, OR
  • NPI 1447764741
  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Advanced Dermatology & Skin Surgery

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1619517539

  ID

  Medicare reassignment NPD
• Mountain West Derm-Blackhart, PLLC

  dba Dermatology Clinic of Idaho

  • Dermatology Physician
  • Boise, ID
  • NPI 1548758501
  Medicare reassignment NPD
• Skin Cancer and Dermatology Institute

  • MOHS-Micrographic Surgery Physician
  • Carson City, NV
  • NPI 1003905001
  NPD
• Bend Dermatology Clinic LLC

  • Dermatology Physician
  • Bend, OR
  • NPI 1649244393
  NPD
• Mountain West Derm - Blackhart PLLC

  • Dermatology Physician
  • Roseburg, OR
  • NPI 1891467577
  NPD
• Mountain West Derm-Blackhart, PLLC

  • Dermatology Physician
  • Tigard, OR
  • NPI 1316656994
  NPD
• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  NPD (past)

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

• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1174620496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W MOANA LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094903",
            "telephone_number": "775-324-0699",
            "fax_number": "775-323-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89436",
            "telephone_number": "775-324-0699",
            "fax_number": "775-323-6814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154531",
            "country_code": "US",
            "telephone_number": "813-884-1626",
            "fax_number": "813-886-0589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 W Moana Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094903",
            "country_code": "US",
            "telephone_number": "775-324-0699",
            "fax_number": "775-283-6814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7801 N LaMar Blvd Ste D8182",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787521016",
            "country_code": "US",
            "telephone_number": "512-868-3376",
            "fax_number": "512-502-5366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAPHY",
        "first_name": "MICHAEL",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME97172",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME97172",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35.088653",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NV",
            "license": "17674",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "T4386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AB222U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson Hayon
• Healing Hands Behavioral Health LLC
• Health & Human Services Foundation
• Cheryl A Healy, MA
• Cornelius Healy, S.W.
• Taneil Heard
• Brandon Adam Heath
• Harold George Heeder Jr., D.C.
• Erin Heffelfinger
• Morrigan Heidenrich

• Dermatopathology Physician in Sparks, NV
• Providers in Sparks, NV by specialty
• Dermatopathology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.