DAVID G HEIDEMANN (MD) – Ophthalmology Physician, NPI 1073504122

DAVID G HEIDEMANN (MD) is a healthcare provider. based in Southfield, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 4301048651 (MI). The NPI Number for DAVID G HEIDEMANN (MD) is 1073504122

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DAVID G HEIDEMANN (MD)
NPI
1073504122
Phone
(248) 350-1130
Address
29201 TELEGRAPH RD
Enumeration Date
28 October 2005
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
1557265998
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20031126000234
Address ID
MI480736770RO3535XRDXX500

Contacts

Secure Messaging
dheidemann17356@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

844 OPHTHALMOLOGY in MI

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Provider Addresses for DAVID G HEIDEMANN (MD)

  • Telegraph Road, Southfield, Oakland County, Michigan, 48034, United States

    SUITE 101

    SOUTHFIELD, MI 480341331

    Phone: (248) 350-1130

    Fax: (248) 350-2709

    Type: Mailing

  • 3535 W 13 Mile Rd Ste 555

    Royal Oak, MI 480736770

    Phone: (248) 551-2020

    Fax: (248) 551-2267

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Dompe US, Inc. ($121).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dompe US, Inc.$121
Alcon Vision LLC$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031126000234IOphthalmologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes267213$0
99213Established patient office or other outpatient visit, 20-29 minutes14089$0
99204New patient office or other outpatient visit, 45-59 minutes6161$0
92134Imaging of retina3533$0
92025Ct scan of cornea3433$0
View full utilization report →

Insurance plans in this area (ZIP 48034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

How do I look up DAVID G HEIDEMANN (MD) by NPI?
Use NPI 1073504122 when you need to reference DAVID G HEIDEMANN (MD) in forms, claims, or directories.
Does this profile mean DAVID G HEIDEMANN (MD) is currently active?
Yes — DAVID G HEIDEMANN (MD) appears active in the national provider directory.
Does DAVID G HEIDEMANN (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for DAVID G HEIDEMANN (MD). Clinical services aligned with this taxonomy classification.
Does DAVID G HEIDEMANN (MD) practice in Michigan?
You will see Southfield, Michigan on file for DAVID G HEIDEMANN (MD) alongside any extra practice locations.
Is DAVID G HEIDEMANN (MD) a real provider?
This page reflects official NPPES data for NPI 1073504122. Always confirm identity and privileges with the practice and licensing boards.

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