ROBERT SCOTT HEIDERSBACH MD
NPI 1275547473
Pediatrics - Pediatric Critical Care Medicine in Palo Alto, CA

Q: What is Robert Heidersbach's NPI number?

The NPI number for Robert Heidersbach is 1275547473. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Robert Heidersbach's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since July 27, 2006PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 498-7103 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert Scott Heidersbach Md NPPES

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

ROBERT SCOTT HEIDERSBACH MD (NPI 1275547473) is an individual pediatric critical care medicine provider in Palo Alto, California, licensed in California (G83682) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275547473

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameROBERT SCOTT HEIDERSBACHCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address2680 Hanover StPalo Alto, CA 94304-1117

Phone(650) 498-7103

Sole ProprietorNo

Enumeration DateJuly 27, 2006

Last NPPES UpdateSeptember 11, 2007

✔ NPI 1275547473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · G83682

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

725 WELCH RD, Palo Alto, CA 94304

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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)

Robert Scott Heidersbach 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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)