Individual provider Active NPI

Michael Edward Hegmann, M.D.

  • Internal Medicine Physician
  • Casa Grande, AZ
National Provider Identifier
1366750002
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-36425 Issued in AZ
Practice address
10281 N Trekell Rd
Casa Grande, AZ 85122-6967
Phone
(520) 820-6463
Fax
(615) 565-9975
NPI assigned
Sep 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-36425 AZ Primary
Internal Medicine Physician 207R00000X MD.015682 LA

Addresses

Primary practice location

10281 N Trekell Rd
Casa Grande, AZ 85122-6967

Mailing address

10281 N Trekell Rd
Casa Grande, AZ 85122-6967
Phone (520) 820-6463

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-36425AZMDInternal Medicine Physician
MD.015682LAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1366750002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10281 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226967",
            "telephone_number": "520-820-6463",
            "fax_number": "615-565-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10281 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226967",
            "telephone_number": "520-820-6463",
            "fax_number": "615-565-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGMANN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "MD-36425",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.015682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.