HEIDI GABRIELLE GRODMAN
NPI 1265299507
Physician Assistant in Mesa, AZ

Q: What is Heidi Grodman's NPI number?

The NPI number for Heidi Grodman is 1265299507. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Q: What is Heidi Grodman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Grodman was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 04, 2024PECOS EnrolledAccepts Medicare Assignment

1400 S DOBSON RD, MESA, AZ 85202(480) 412-3000 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2026, Jan 5, 2026, Dec 7, 2025 and 1 more (4 updates tracked since 2024).

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About Heidi Gabrielle Grodman NPPES

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

HEIDI GABRIELLE GRODMAN (NPI 1265299507) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (11523) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Farmington Hills, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265299507

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHEIDI GABRIELLE GRODMAN

Location Address1400 S DOBSON RDMesa, AZ 85202-4707

Mailing Address1400 S Dobson RdMesa, AZ 85202-4707

Phone(480) 412-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 4, 2024

Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1265299507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 11523

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1400 S DOBSON RD, Mesa, AZ 85202

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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 and accepts Medicare assignment

Heidi Gabrielle Grodman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587145461

PECOS Enrollment IDI20260227003272

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230151

Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VIREN PATEL PHARMD

Pharmacist