Michael R Heru, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8125 Issued in RI

Practice address

594 Great Rd
Suite 103
North Smithfield, RI 02896-6810

Phone

(401) 597-0088

Fax

(401) 597-0077

NPI assigned

May 28, 2006

Last updated

Aug 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Core Health Care LLC

  • Internal Medicine Physician
  • Lincoln, RI
  • NPI 1801428131
  NPD
• North Smithfield Urgent Care,LLC

  • Internal Medicine Physician
  • North Smithfield, RI
  • NPI 1649404799
  NPD
• Prime Healthcare Services Landmark LLC

  dba Landmark Health Services

  • Hematology & Oncology Physician
  • Woonsocket, RI
  • NPI 1518388651
  NPD
• Prime Healthcare Services Landmark LLC

  dba Landmark Medical Center

  • General Acute Care Hospital
  • Woonsocket, RI
  • NPI 1699752923
  NPD
• Dr Stephen M Estner Professional Corporation

  • Medical Specialty Clinic/Center
  • Cranston, RI
  • NPI 1881251692
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1982651626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 GREAT RD",
            "address_2": "SUITE 103",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810",
            "telephone_number": "401-597-0088",
            "fax_number": "401-597-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 GREAT RD",
            "address_2": "SUITE 103",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966810",
            "telephone_number": "401-597-0088",
            "fax_number": "401-597-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERU",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "8125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006275",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Frank Grillo, M.D.
• Michelle Halloran
• Meaghan Lyn Harrell
• Gerry Hearn
• Jennifer L Hebert, DPT
• Katie Hopkins
• Norman Houle
• Jordan Elizabeth Houston, OTR
• Latosha Meshun Howard, LCSW
• Susan B. Hurd, MA, CAGS, LMHC

• Internal Medicine Physician in North Smithfield, RI
• Providers in North Smithfield, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.