Individual provider Active NPI

Howard B Heidenberg, DO

  • Urology Physician
  • Tampa, FL
National Provider Identifier
1538195037
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0S8026 Issued in FL
Practice address
1209 W Swann Ave
Tampa, FL 33606-2639
Phone
(813) 253-3007
Fax
(813) 253-2098
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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 0S8026 FL Primary

Addresses

Primary practice location

1209 W Swann Ave
Tampa, FL 33606-2639

Mailing address

1209 W Swann Ave
Tampa, FL 33606-2639
Phone (813) 253-3007

Other identifiers 1

IdentifierTypeStateIssuer
260009900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090106000727 FL Practitioner - Urology 7719049683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers New Jersey Medical School, 1987
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)

3140 S Falkenburg Rd
Suite 104
Riverview, FL 33578-2594
Phone (813) 734-8911

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S8026FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Apr 1, 2018 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Urology Partners, LLP Urology CurrentSince Dec 1, 2008 Accepting new patients
Tampa Urology PA Urology PastSince Aug 7, 2006 Accepting new patients
Naked Tree LLC PastSince Feb 6, 2022 Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients

Locations

3140 S Falkenburg Rd
Ste 104
Riverview, FL 33578
Phone 8133560196 ext. 1042

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

1209 W Swann Ave
Tampa, FL 33606
Phone (813) 253-3007

5523 W Cypress St
Ste 202
Tampa, FL 33607
Phone (813) 356-0196

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

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

12408 N 56th St
Ste 1
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

  • Direct secure messaging: hheidenberg8106@direct.tgh.org
  • 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 5

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1538195037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062639",
            "telephone_number": "813-253-3007",
            "fax_number": "813-253-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062639",
            "telephone_number": "813-253-3007",
            "fax_number": "813-253-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDENBERG",
        "first_name": "HOWARD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "0S8026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260009900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.