Individual provider Active NPI

Daniel Lee Heinig, M.D.

  • Internal Medicine Physician
  • Lutz, FL
National Provider Identifier
1821053661
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME47300 Issued in FL
Practice address
23532 State Road 54
Lutz, FL 33559-6753
Phone
(813) 909-1600
Fax
(813) 909-1005
NPI assigned
Apr 17, 2006
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME47300 FL Primary

Addresses

Primary practice location

23532 State Road 54
Lutz, FL 33559-6753

Mailing address

23532 State Road 54
Lutz, FL 33559-6753
Phone (813) 909-1600

Other identifiers 1

IdentifierTypeStateIssuer
008156800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47300FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida Ci, LLC Past Accepting new patients

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, 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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1821053661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23532 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596753",
            "telephone_number": "813-909-1600",
            "fax_number": "813-909-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23532 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596753",
            "telephone_number": "813-909-1600",
            "fax_number": "813-909-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINIG",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME47300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008156800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.