DR. MIA ANNALISE HEILIGENSTEIN M.D.
NPI 1154881316
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Mia Heiligenstein's NPI number?

The NPI number for Mia Heiligenstein is 1154881316. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Q: What is Mia Heiligenstein'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 Mia Heiligenstein was last updated on March 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 23, 2019PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-4686(631) 444-4622 Get Directions Write a Review

NPPES record last updated: March 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mia Annalise Heiligenstein M.d. NPPES

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

DR. MIA ANNALISE HEILIGENSTEIN M.D. (NPI 1154881316) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154881316

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MIA ANNALISE HEILIGENSTEINCredential: M.D.

Location Address101 NICOLLS RDStony Brook, NY 11794-8091

Mailing Address101 Nicolls RdStony Brook, NY 11794-8091 · (631) 444-4686 · Fax (631) 444-4622

Phone(631) 444-4686

Fax(631) 444-4622

Sole ProprietorNo

Enumeration DateMarch 23, 2019

✔ NPI 1154881316 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.

101 NICOLLS RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mia Annalise Heiligenstein M.d. 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.

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.

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