Individual provider Active NPI

Michael Heath, MD

  • MOHS-Micrographic Surgery Physician
  • Roseburg, OR
National Provider Identifier
1437670338
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD215326 Issued in OR
Practice address
2440 NW Edenbower Blvd
Roseburg, OR 97471-8847
Phone
(541) 957-1141
Fax
(541) 957-1466
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD215326 OR
Internal Medicine Physician 207R00000X 313363 LA
MOHS-Micrographic Surgery Physician 207ND0101X MD215326 OR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2440 NW Edenbower Blvd
Roseburg, OR 97471-8847

Mailing address

2440 NW Edenbower Blvd
Roseburg, OR 97471-8847
Phone (541) 957-1141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20230711001156 OR Practitioner - Dermatology 5890119234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oregon Health Sciences University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weese Dermatology PCGroup PAC ID 5597078238, 5 clinicians

Practice addresses (Care Compare)

2440 NW Edenbower Blvd
Roseburg, OR 97471-8847
Phone (541) 957-1141

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
85.3
Improvement activities
40
Cost
96.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision177
Removal of tissue1-10
Removal of skin lesions176
Removal of skin cancer944
Skin biopsy113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD215326ORMDDermatology Physician
313363LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weese Dermatology PC CurrentSince Jul 15, 2024 Accepting new patients
Oregon Health & Science University PastSince Jul 1, 2023 Accepting new patients

Locations

2440 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 957-1141

Interoperability endpoints

  • Direct secure messaging: mheath@directaddress.net

Organizations & group practices 2

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 2

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1437670338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 NW EDENBOWER BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718847",
            "telephone_number": "541-957-1141",
            "fax_number": "541-957-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 NW EDENBOWER BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718847",
            "telephone_number": "541-957-1141",
            "fax_number": "541-957-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD215326",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "313363",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD215326",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.