Individual provider Active NPI

Richard J Heglund, MD

  • Family Medicine Physician
  • Port Huron, MI
National Provider Identifier
1346760741
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301513624 Issued in MI
Practice address
1216 Richardson St
Port Huron, MI 48060-3549
Phone
(810) 985-2620
NPI assigned
Jun 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301513624 MI Primary

Addresses

Primary practice location

1216 Richardson St
Port Huron, MI 48060-3549

Mailing address

1216 Richardson St
Port Huron, MI 48060-3549

Other practice location 1

900 S Adams St
Nevada, MO 64772-3210
Phone (417) 667-6015

Other practice location 2

4611 Campus Ridge Dr
Midland, MI 48640-9533
Phone (989) 839-3500

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
I20250430001278 MI Practitioner - Family Practice 8123398666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Port HuronGroup PAC ID 9931018702, 48 clinicians

Practice addresses (Care Compare)

1313 Stone St
Port Huron, MI 48060-3520
Phone (810) 985-2640

Hospital & facility affiliations

  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301513624MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water OB & GYN PC CurrentSince Apr 9, 2025 Accepting new patients
McLaren Port Huron Current Accepting new patients
McLaren Port Huron Family Medicine CurrentSince Apr 9, 2025 Accepting new patients
Mymichigan Medical Center Midland PastSince Jul 1, 2022 Accepting new patients
Mymichigan Medical Center Midland Family Medicine PastSince Jul 1, 2022 Accepting new patients

Locations

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1313 Stone St
Port Huron, MI 48060
Phone (810) 984-3181

1216 Richardson St
Port Huron, MI 48060
Phone (810) 985-2640

1163 S Carney Dr
Saint Clair, MI 48079
Phone (810) 561-8450

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1346760741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 RICHARDSON ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 RICHARDSON ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603549",
            "telephone_number": "810-985-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723210",
            "country_code": "US",
            "telephone_number": "417-667-6015",
            "fax_number": "417-448-8970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4611 Campus Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486409533",
            "country_code": "US",
            "telephone_number": "989-839-3500",
            "fax_number": "989-839-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGLUND",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-07-16",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301513624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.