MICHAEL ALAN HEIDLEBAUGH (M.D.) – Emergency Medicine Physician, NPI 1083933873

MICHAEL ALAN HEIDLEBAUGH (M.D.) is a healthcare provider. based in Berkley, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. Q4766 (TX). The NPI Number for MICHAEL ALAN HEIDLEBAUGH (M.D.) is 1083933873

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ALAN HEIDLEBAUGH (M.D.)
NPI
1083933873
Phone
(248) 797-6709
Address
2990 GREENFIELD RD
Enumeration Date
19 May 2010
Last Update Date
9 September 2015

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4326404000
Graduation Year
2010 (16 years ago)
PAC ID
2264688746
Group Practice PAC ID
0244397826
Professional Enrollment ID
I20150901000592
Address ID
TX797615001OD500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for MICHAEL ALAN HEIDLEBAUGH (M.D.)

  • 2990 GREENFIELD RD

    BERKLEY, MI 480721160

    Phone: (248) 797-6709

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-09-01

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
I20150901000592IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making524497$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only234216$0
99291Critical care, first 30-74 minutes144141$0
71045X-ray of chest, 1 view8685$0
99284Emergency department visit with moderate level of medical decision making6262$0
View full utilization report →

Insurance plans in this area (ZIP 48072)

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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: 0244397826View full group profile
NameSpecialtyState
Emergency MedicinePR
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeNM
Emergency MedicineAZ
Emergency MedicineMI
Emergency MedicineWY
Nurse PractitionerOK
Emergency MedicineAR
Family PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL ALAN HEIDLEBAUGH (M.D.)?
MICHAEL ALAN HEIDLEBAUGH (M.D.) — NPI 1083933873 — is the standard way to identify this listing.
Can I rely on MICHAEL ALAN HEIDLEBAUGH (M.D.) being an active provider?
As of the registry snapshot, MICHAEL ALAN HEIDLEBAUGH (M.D.) is marked active.
What is MICHAEL ALAN HEIDLEBAUGH (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for MICHAEL ALAN HEIDLEBAUGH (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is MICHAEL ALAN HEIDLEBAUGH (M.D.) based?
MICHAEL ALAN HEIDLEBAUGH (M.D.) is tied to Berkley, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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