Provider Type Icon

MR. HEIDAR G HESHMATI MD NPI 1477660090


NPI Information

NPI: 1477660090
Provider Name: MR. HEIDAR G HESHMATI, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2575 N COURTENAY PKWY
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 454-7111
Get Directions

MR. Heidar G Heshmati, MD is a general practice in Merritt Island, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MR. Heidar G Heshmati, MD NPI is 1477660090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2575 N COURTENAY PKWY
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 454-7111
Fax: (321) 454-7129

The enumeration date for this NPI number is 8/23/2006 and was last updated on 12/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeMED0042145FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1067540700MEDICAIDFLORIDA
2D61240MEDICARE UPIN
305484ZMEDICARE ID-TYPE UNSPECIFIED
4P00188448OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.