Karen Ann Heidelberg, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301066952 Issued in MI

Practice address

20400 Livernois Ave
Detroit, MI 48221-1348

Phone

(313) 864-3766

Fax

(313) 864-8134

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Howard University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heidelberg Dermatology PCGroup PAC ID 7719980036, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Merit-based Incentive Payment System (MIPS)

Final score

28.98 of 100Reported as group

Quality

45.36

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kheidelb@direct.dmc.org
• Direct secure messaging: kheidelberg@directaddress.net

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.

• Heidelberg Dermatology, P.C.

  • Dermatology Physician
  • Detroit, MI
  • NPI 1124045075
  Medicare reassignment Care Compare group Authorized official
• Carla L Hunter MD PLLC

  • Adult Medicine Physician
  • Detroit, MI
  • NPI 1033726815
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1467406439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211348",
            "telephone_number": "313-864-3766",
            "fax_number": "313-864-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211348",
            "telephone_number": "313-864-3766",
            "fax_number": "313-864-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDELBERG",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301066952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3437329",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Hegab
• Stephen Ogden Hegenauer, PHARMD
• Hege Finvold Heggum, M.D
• Leland Philip Hehman, R.PH.
• Heidelberg Dermatology, P.C.
• Danielle Lynn Heidemann, MD
• Sabrina Marie Heidemann, MD
• Jacob Heikkinen
• Courtney Heilig
• Victoria Heilmann, LLMSW

• Dermatology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.

Verify at the official NPI Registry.