Individual provider Active NPI

Daniel Joseph Heidenberg, M.D.

  • Urology Physician
  • Wesley Chapel, FL
National Provider Identifier
1346773256
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME166541 Issued in FL
Practice address
3743 Maryweather LN
Wesley Chapel, FL 33544-7782
Phone
(813) 607-4655
Fax
(813) 607-4656
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME166541 FL Primary

Addresses

Primary practice location

3743 Maryweather LN
Wesley Chapel, FL 33544-7782

Mailing address

5015 W Nassau St
Tampa, FL 33607-3814
Phone (881) 356-0196

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Other practice location 2

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dheidenberg295797@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220620001441 AZ Practitioner - Urology 5092194159 Reassigns benefits to 1 organization
I20240809000951 FL Practitioner - Urology 5092194159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians

Practice addresses (Care Compare)

3743 Maryweather LN
Zephyrhills, FL 33544-7782
Phone (813) 607-4655

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Tampa, FL, CCN 109761
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Baycare Hospital Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100362
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166541FLMDUrology Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Jul 1, 2022 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 1, 2022 Accepting new patients
Florida Urology Partners, LLP Urology CurrentSince Aug 5, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Urology Partners LLP CurrentSince Aug 4, 2024 Accepting new patients
Florida Hospital Physician Group Inc PastSince Apr 1, 2018 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients

Locations

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

13400 E Shea Blvd
Scottsdale, AZ 85259

3140 S Falkenburg Rd
Ste 203
Riverview, FL 33578
Phone (813) 850-0026

5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196

1 Davis Blvd
Ste 604
Tampa, FL 33606
Phone (813) 258-9565

12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104

12408 N 56th St
Temple Terrace, FL 33617
Phone (813) 980-3104

2700 Healing Way
Ste 203
Wesley Chapel, FL 33543

2700 Healing Way
Ste 303
Wesley Chapel, FL 33543
Phone (813) 607-4655

3743 Maryweather Ln
Zephyrhills, FL 33544
Phone (813) 607-4655

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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 7

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1346773256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 W NASSAU ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073814",
            "telephone_number": "881-356-0196",
            "fax_number": "813-356-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 MARYWEATHER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447782",
            "telephone_number": "813-607-4655",
            "fax_number": "813-607-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595499",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Pennsylvania Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDENBERG",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME166541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dheidenberg295797@direct.tgh.org",
            "affiliation": "N",
            "address_1": "3743 Maryweather Ln",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335447782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.