MR. HEIDAR G HESHMATI MD
NPI 1477660090
General Practice in Merritt Island, FL

Q: What is Heidar Heshmati's NPI number?

The NPI number for Heidar Heshmati is 1477660090. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Heidar Heshmati's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Heidar Heshmati was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 23, 2006

2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953(321) 454-7111(321) 454-7129 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Heidar G Heshmati Md NPPES

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

MR. HEIDAR G HESHMATI MD (NPI 1477660090) is an individual general practice provider in Merritt Island, Florida, licensed in Florida (MED0042145) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477660090

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMR. HEIDAR G HESHMATICredential: MD

Location Address2575 N COURTENAY PKWYMerritt Island, FL 32953

Mailing Address2575 N Courtenay PkwyMerritt Island, FL 32953 · (321) 454-7111 · Fax (321) 454-7129

Phone(321) 454-7111

Fax(321) 454-7129

Sole ProprietorNo

Enumeration DateAugust 23, 2006

Last NPPES UpdateDecember 7, 2012

✔ NPI 1477660090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · MED0042145

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2575 N COURTENAY PKWY, Merritt Island, FL 32953

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Other Identifiers 4

Medicaid067540700FL

Medicare UPIND61240

Medicare ID-Type Unspecified05484Z

OtherP00188448Railroad Medicare

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.

NANCY STEFAN SELF RN

Registered Nurse (School)