MICHAEL HEUBLUM M.D.
NPI 1336168954
Psychiatry & Neurology - Neurology in New York, NY

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
247 3RD AVE, SUITE # 203, NEW YORK, NY 10010(212) 505-9800(212) 614-0290 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Heublum M.d. NPPES

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

MICHAEL HEUBLUM M.D. (NPI 1336168954) is an individual neurology provider in New York, New York, licensed in New York (171503) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1986).

NPPES Registry Identity

NPI1336168954
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMICHAEL HEUBLUMCredential: M.D.
Location Address247 3RD AVE, SUITE # 203New York, NY 10010-7457
Mailing Address247 3rd Ave, Suite # 203New York, NY 10010-7457 · (212) 505-9800 · Fax (212) 614-0290
Fax(212) 614-0290
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1986
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336168954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 171503
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
247 3RD AVE, New York, NY 10010

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

Michael Heublum M.d. 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 ID749252005
PECOS Enrollment IDI20191009000415
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
241 services241 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
151 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services57 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
66 services40 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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.

Psychiatry & Neurology (Neurology)
247 3RD AVE, SUITE 203
NEW YORK, NY 10010
Internal Medicine (Cardiovascular Disease)
247 3RD AVE, SUITE 404
NEW YORK, NY 10010
Surgery
247 3RD AVE, SUITE L-2
NEW YORK, NY 10010
Dentist
247 3RD AVE, SUITE L-3
NEW YORK, NY 10010
Internal Medicine
247 3RD AVE, SUITE 401
NEW YORK, NY 10010
Ophthalmology
247 3RD AVE, SUITE#202
NEW YORK, NY 10010
Rehabilitation Practitioner
247 3RD AVE, SUITE 503
NEW YORK, NY 10010
Clinic/Center (Physical Therapy)
247 3RD AVE, SUITE LL2
NEW YORK, NY 10010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Heublum's NPI number?

The NPI number for Michael Heublum is 1336168954. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Michael Heublum located?

Michael Heublum practices at 247 3rd Ave Suite # 203, New York, NY 10010. The listed phone number is (212) 505-9800.

What is Michael Heublum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Heublum enrolled in Medicare?

Yes. Michael Heublum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Heublum affiliated with any hospitals?

According to CMS data, Michael Heublum is affiliated with Holy Name Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Heublum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.