Active NPI
Heidi A Pearson, MD
- Transplant Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- ME104155
- Practice address
- 409 Bayshore Blvd
Tampa, FL 33606-2707 - Phone
- (800) 844-9302
- Fax
- (813) 844-1655
- NPI assigned
- Sep 17, 2008
- Last updated
- Jun 8, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME104155 | FL | |
| Transplant Surgery Physician | 204F00000X | ME104155 | FL | Primary |
Addresses
Primary practice location
409 Bayshore Blvd
Tampa, FL 33606-2707
Mailing address
409 Bayshore Blvd
Tampa, FL 33606-2707
Phone (800) 844-9302
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hpearson8597@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- General Surgery
- Education
- University of South Florida College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14131 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4455
Phone (239) 224-3501
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME104155 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Surgery | Current | Accepting new patients |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Lifelink Healthcare Institute Inc | Transplant Surgery | Past | Accepting new patients |
| Tampa General Medical Group Inc | Past | Accepting new patients |
Locations
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
14131 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 224-3501
409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640
5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100
2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- hpearson8597@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
dba TGMG Apollo Beach
- Internal Medicine Physician
- Apollo Beach, FL
- NPI 1124426176
-
dba TGH Heart & Vascular Institute Sun City
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Transplant Surgery Physician
- Tampa, FL
- NPI 1093732786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1255580080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 BAYSHORE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062707",
"telephone_number": "800-844-9302",
"fax_number": "813-844-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 BAYSHORE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062707",
"telephone_number": "800-844-9302",
"fax_number": "813-844-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "HEIDI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME104155",
"primary": false
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "FL",
"license": "ME104155",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hpearson8597@direct.tgh.org",
"affiliation": "N",
"address_1": "409 Bayshore Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336062707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.