Active NPI
Daniel Joseph Heidenberg, M.D.
- Urology Physician
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME166541
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dheidenberg295797@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
3743 Maryweather LN
Zephyrhills, FL 33544-7782
Phone (813) 607-4655
Hospital & facility affiliations
- Vitalcaring Group
- Adventhealth Wesley Chapel
- Baycare Hospital Wesley Chapel
- Tampa General Hospital
- Adventhealth Tampa
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME166541 | FL | MD | Urology Physician |
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Florida Urology Partners, LLP | Urology | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Florida Urology Partners LLP | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Past | Accepting new patients | |
| Tampa General Provider Network Inc | Urology | Past | 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
- 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.
-
- Urology Physician
- Tampa, FL
- NPI 1447401955
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Non-Pharmacy Dispensing Site
- Tampa, FL
- NPI 1285279430
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Urology Physician
- Palm Springs, FL
- NPI 1851030282
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1518604693
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- Home Health Agency
- Winter Haven, FL
- NPI 1427607555
-
- Home Health Agency
- Tampa, FL
- NPI 1467757641
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.