Individual provider Active NPI

David J Heeringa, D.O.

  • Orthopaedic Surgery Physician
  • Caledonia, MI
National Provider Identifier
1245353853
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101016904 Issued in MI
Practice address
7169 Kalamazoo Ave SE Ste 100
Caledonia, MI 49316
Phone
(616) 266-9100
Fax
(616) 266-9200
NPI assigned
Apr 9, 2007
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101016904 MI Primary

Addresses

Primary practice location

7169 Kalamazoo Ave SE Ste 100
Caledonia, MI 49316

Mailing address

7169 Kalamazoo Ave SE Ste 100
Caledonia, MI 49316-8146
Phone (616) 266-9100

Other practice location 1

840 Cook Rd
Hastings, MI 49058-9616
Phone (269) 945-9520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000076 MI Practitioner - Orthopedic Surgery 4284803107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Community HospitalGroup PAC ID 1658275342, 18 clinicians
Thornapple River Orthopedics PCGroup PAC ID 4385986827, 5 clinicians
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

7169 Kalamazoo Ave SE
Suite 100
Caledonia, MI 49316-8146
Phone (616) 266-9100

781 36TH St SE
Metro HLTH Comm Clinic
Wyoming, MI 49548-2319
Phone (616) 252-4100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Jun 1, 2020 Accepting new patients
Sheridan Community Hospital CurrentSince May 1, 2024 Accepting new patients
Thornapple River Orthopedics PC Orthopaedic Surgery CurrentSince Jun 20, 2019 Accepting new patients
Sheridan Community Hospital CurrentSince May 1, 2024 Accepting new patients
Metropolitan Hospital CurrentSince Jun 1, 2020 Accepting new patients
Hastings Orthopedic Clinic PC Orthopaedic Surgery Past Accepting new patients
Sheridan Community Hospital Past Accepting new patients
Hastings Orthopedic Clinic Past Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

7169 Kalamazoo Ave SE
Ste 100
Caledonia, MI 49316
Phone (616) 266-9100

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100

Interoperability endpoints

  • Direct secure messaging: dheeringa108920@direct.metrohealth.net

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1245353853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7169 KALAMAZOO AVE SE STE 100",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168146",
            "telephone_number": "616-266-9100",
            "fax_number": "616-266-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7169 KALAMAZOO AVE SE STE 100",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "49316",
            "telephone_number": "616-266-9100",
            "fax_number": "616-266-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490589616",
            "country_code": "US",
            "telephone_number": "269-945-9520",
            "fax_number": "269-945-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEERINGA",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101016904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.