Active NPI
Steven J Heyden, MD
- Family Medicine Physician
- Whitefish Bay, WI
National Provider Identifier
1184655680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32305
- Practice address
- 325 E Silver Spring Dr
Whitefish Bay, WI 53217-5222 - Phone
- (414) 247-4800
- NPI assigned
- Jul 5, 2006
- Last updated
- Oct 2, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32305 | WI | Primary |
Addresses
Primary practice location
325 E Silver Spring Dr
Whitefish Bay, WI 53217-5222
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31716200 | Medicaid | WI | |
| P00449422 | Other | WI | RR MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sheyden71@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32305 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aamg Reach PLLC | Family Medicine | Current | Accepting new patients |
| Advanced Healthcare SC | Family Medicine | Past | Accepting new patients |
Locations
10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1184655680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E SILVER SPRING DR",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532175222",
"telephone_number": "414-247-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYDEN",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "32305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31716200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00449422",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sheyden71@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "325 E Silver Spring Dr",
"city": "Whitefish Bay",
"state": "WI",
"country_code": "US",
"postal_code": "532175222",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "325 E Silver Spring Dr",
"city": "Whitefish Bay",
"state": "WI",
"country_code": "US",
"postal_code": "532175222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whitefish Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.