Active NPI
Michael B. Heisler, M.D.
- Internal Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1225050610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1885
- Practice address
- 1325 S. Cliff Ave.
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-2460
- Fax
- (605) 322-2470
- NPI assigned
- Jul 24, 2006
- Last updated
- Dec 20, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 035650 | GA | |
| Internal Medicine Physician | 207R00000X | 1885 | SD | Primary |
Addresses
Primary practice location
1325 S. Cliff Ave.
Sioux Falls, SD 57105-1007
Mailing address
2400 S. Minnesota Ave
Ste 100
Sioux Falls, SD 57105-3762
Phone (605) 322-7510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6001703 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
709 W Main St
Manchester, IA 52057-1526
PO Box
Suite 359
Manchester, IA 52057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1885 | SD | MD | Mental Health Counselor |
| 035650 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Regional Medical Center
- Critical Access Hospital
- Manchester, IA
- NPI 1750354676
-
dba Backbone Area Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manchester, IA
- NPI 1982667929
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1225050610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S. MINNESOTA AVE",
"address_2": "STE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571053762",
"telephone_number": "605-322-7510",
"fax_number": "605-322-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S. CLIFF AVE.",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051007",
"telephone_number": "605-322-2460",
"fax_number": "605-322-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISLER",
"first_name": "MICHAEL",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "035650",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "1885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001703",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.