Active NPI
Eliot N Heller, MD
- Cardiovascular Disease Physician
- St Petersburg, FL
National Provider Identifier
1295920759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA08027400
- Practice address
- 5501 4TH St N
St Petersburg, FL 33703-2251 - Phone
- (727) 327-0333
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA08027400 | NJ | Primary |
Addresses
Primary practice location
5501 4TH St N
St Petersburg, FL 33703-2251
Mailing address
2905 Sunset Way
St Pete Beach, FL 33706-4134
Phone (914) 715-6771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01678697 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08027400 | NJ | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1295920759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 SUNSET WAY",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337064134",
"telephone_number": "914-715-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337032251",
"telephone_number": "727-327-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "ELIOT",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA08027400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01678697",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.