ERIC ANTHONY HEIDELMAN MD
NPI 1093451429
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Q: What is Eric Heidelman's NPI number?

The NPI number for Eric Heidelman is 1093451429. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Q: What is Eric Heidelman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Heidelman was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2022PECOS Enrolled

3901 RAINBOW BLVD # MS 4032, KANSAS CITY, KS 66160(913) 588-1847(913) 945-5062 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2023, May 9, 2022 (2 updates tracked since 2022).

On this page

About Eric Anthony Heidelman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC ANTHONY HEIDELMAN MD (NPI 1093451429) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1093451429

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameERIC ANTHONY HEIDELMANCredential: MD

Location Address3901 RAINBOW BLVD # MS 4032Kansas City, KS 66160-5389

Mailing Address3901 Rainbow Blvd # Ms 4032Kansas City, KS 66160-8500 · (913) 588-1847

Phone(913) 588-1847

Fax(913) 945-5062

Sole ProprietorNo

Enumeration DateMay 9, 2022

Last NPPES UpdateJune 26, 20232 updates tracked since enumeration

NPPES CertifiedJune 26, 2023

✔ NPI 1093451429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3901 RAINBOW BLVD # MS 4032, Kansas City, KS 66160

Open in Google Maps ↗

Secondary Practice Location 1

Location 16410 Fannin St Ste 1400Houston, TX 77030-5389 · Phone (832) 325-7125

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Anthony Heidelman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH REGINA BROWN

Radiology (Diagnostic Radiology)