STUART VANDERHEIDE (MD) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1619990819

STUART VANDERHEIDE (MD) is a healthcare provider. based in Muskegon, Michigan. specializing in Hospice and Palliative Medicine (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 4301076690 (MI). The NPI Number for STUART VANDERHEIDE (MD) is 1619990819

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
STUART VANDERHEIDE (MD)
NPI
1619990819
Phone
(231) 728-4601
Address
1700 Clinton St
Enumeration Date
26 July 2006
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
4880794635
Group Practice PAC ID
8527078583
Professional Enrollment ID
I20070710000477
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for STUART VANDERHEIDE (MD)

  • 1700 Clinton St

    Muskegon, MI 49443

    Phone: (231) 728-4601

    Type: Location

  • Mercy Health Hackley Campus, 1700, Clinton Street, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 49443

    Phone: (231) 728-4601

    Type: Location

  • 2366 OAK VALLEY DR

    ANN ARBOR, MI 481038944

    Phone: (877) 227-8823

    Type: Location

  • US Post Office - North Muskegon, 404, Center Street, North Muskegon, Muskegon County, Michigan, 49445, United States

    MUSKEGON, MI 49443

    Phone: (616) 975-1845

    Fax: (616) 285-0846

    Type: Mailing

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: 2007-07-10

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
I20070710000477IEmergency MedicineMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49443)

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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: 8527078583View full group profile
NameSpecialtyState
U R O L O G YMO
General SurgeryMI
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What number should I use to identify STUART VANDERHEIDE (MD) for billing?
Administrative and clinical systems typically use NPI 1619990819 for STUART VANDERHEIDE (MD).
Is STUART VANDERHEIDE (MD)'s NPI status active today?
Active status means STUART VANDERHEIDE (MD)'s NPI record is not deactivated in the public file.
What type of care does STUART VANDERHEIDE (MD) provide?
STUART VANDERHEIDE (MD)'s profile centers on Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is STUART VANDERHEIDE (MD) tied to Muskegon, Michigan?
If you are local to Muskegon, Michigan, STUART VANDERHEIDE (MD) may be relevant to your search.
Who maintains STUART VANDERHEIDE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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