Individual provider Active NPI

Paul D Heilborn, MD

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1841296332
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301052971 Issued in MI
Practice address
2424 Spring Arbor Rd
Jackson, MI 49203-2748
Phone
(517) 787-0500
Fax
(517) 787-1555
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301052971 MI Primary

Addresses

Primary practice location

2424 Spring Arbor Rd
Jackson, MI 49203-2748

Mailing address

2424 Spring Arbor Rd
Jackson, MI 49203-2748
Phone (517) 787-0500

Other identifiers 1

IdentifierTypeStateIssuer
2757931MedicaidMI

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
I20050331001135 MI Practitioner - Family Practice 7113999459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springcrest Family Physicians, P.C.Group PAC ID 8527030857, 2 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

2424 Spring Arbor Rd
Jackson, MI 49203-2748
Phone (517) 787-0500

5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springcrest Family Physicians, P.C. Family Medicine CurrentSince Sep 1, 1988 Accepting new patients

Locations

2424 Spring Arbor Rd
Unit 2
Jackson, MI 49203

2424 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 787-0500

Interoperability endpoints

  • Direct secure messaging: pheilborn445260@direct.hfhs.org

Organizations & group practices 1

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 3

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1841296332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032748",
            "telephone_number": "517-787-0500",
            "fax_number": "517-787-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032748",
            "telephone_number": "517-787-0500",
            "fax_number": "517-787-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILBORN",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301052971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2757931",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.