NPIMap

Individual provider Active NPI

Harikisan Rambilas Heda, M.D.

  • Specialist
  • Salisbury, MD
National Provider Identifier
1790786036
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D25036 Issued in MD
Practice address
614 Eastern Shore Dr
Suite D
Salisbury, MD 21804-5955
Phone
(410) 749-5419
Fax
(410) 749-1047
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D25036 MD Primary

Addresses

Primary practice location

614 Eastern Shore Dr
Suite D
Salisbury, MD 21804-5955

Mailing address

614 Eastern Shore Dr
Suite D
Salisbury, MD 21804-5955
Phone (410) 749-5419

Other names 1

  • Dr. H. R. Heda Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000791 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577515881 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Nov 1, 2020 Accepting new patients
McCready Foundation Inc Past Accepting new patients

Locations

314 Franklin Ave
Ste 402
Berlin, MD 21811
Phone (410) 641-2236

201 Hall Hwy
Crisfield, MD 21817
Phone (410) 968-1200

500 Market St
Ste 103
Pocomoke City, MD 21851
Phone (301) 884-5853

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

106 Milford St
Ste 404
Salisbury, MD 21804
Phone (410) 543-7294

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLC 375 clinicians

Practice addresses (Care Compare)

400 Eastern Shore Dr
Tidalhealth Cardiology
Salisbury, MD 21804-5513
Phone (410) 749-8906

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1790786036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 EASTERN SHORE DR",
            "address_2": "SUITE D",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045955",
            "telephone_number": "410-749-5419",
            "fax_number": "410-749-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EASTERN SHORE DR",
            "address_2": "SUITE D",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045955",
            "telephone_number": "410-749-5419",
            "fax_number": "410-749-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDA",
        "first_name": "HARIKISAN",
        "middle_name": "RAMBILAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D25036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "HEDA",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.