Individual provider Active NPI

Jonathan Mark Heckman, D.O.

  • Pediatrics Physician
  • Inkster, MI
National Provider Identifier
1578950283
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101021954 Issued in MI
Practice address
2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone
(313) 561-5100
NPI assigned
Apr 20, 2015
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 5101021954 MI Primary

Addresses

Primary practice location

2700 Hamlin Blvd
Inkster, MI 48141-2206

Mailing address

2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone (313) 561-5100

Other practice location 1

26650 Eureka Rd Ste C
Taylor, MI 48180-4835
Phone (734) 941-4991

Other practice location 2

3031 W Grand Blvd
Suite 450
Detroit, MI 48202-3046
Phone (313) 871-3751

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180530001517 MI Practitioner - Pediatric Medicine 7618232307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021954MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Wayne Family Health Centers CurrentSince Jul 9, 2018 Accepting new patients
Western Wayne Family Health Centers CurrentSince Jul 9, 2018 Accepting new patients
Western Wayne Family Health Centers Past Accepting new patients
Western Wayne Family Health Centers Past Accepting new patients
Partners in Wellness Past Accepting new patients
Detroit Wayne County Health Authority PastSince Jul 6, 2020 Accepting new patients

Locations

4700 Schaefer Rd
Ste 245
Dearborn, MI 48126
Phone (313) 561-5100

2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100

25650 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-1515

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

26650 Eureka Rd
Ste C
Taylor, MI 48180
Phone (734) 941-4991

26650 Eureka Rd
Ste C1
Taylor, MI 48180
Phone (734) 941-4991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17288/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jheckman315524@direct.hfhs.org
  • Direct secure messaging: jonathan.heckman.1@17288.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1578950283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HAMLIN BLVD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412206",
            "telephone_number": "313-561-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HAMLIN BLVD",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412206",
            "telephone_number": "313-561-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26650 Eureka Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481804835",
            "country_code": "US",
            "telephone_number": "734-941-4991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3031 W Grand Blvd",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023046",
            "country_code": "US",
            "telephone_number": "313-871-3751",
            "fax_number": "313-879-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKMAN",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101021954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inkster, MI

Sources for this page

Verify at the official NPI Registry.