DR. NICHOLAS JOHN HEITMAN MD
NPI 1619618535
Dermatology in New York, NY
About Dr. Nicholas John Heitman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS JOHN HEITMAN MD (NPI 1619618535) is an individual dermatology provider in New York, New York, licensed in New York (342299) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicholas John Heitman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Heitman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai Hospital
Acute Care Hospitals · New York, NYMount Sinai St Luke's Roosevelt Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10029
NEW YORK, NY 10029
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 Nicholas Heitman's NPI number?
The NPI number for Nicholas Heitman is 1619618535. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Nicholas Heitman located?
Nicholas Heitman practices at 17 E 102nd St Fl 4, New York, NY 10029. The listed phone number is (212) 659-8554.
What is Nicholas Heitman's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Nicholas Heitman enrolled in Medicare?
Yes. Nicholas Heitman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicholas Heitman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Heitman reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Heitman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicholas Heitman affiliated with any hospitals?
According to CMS data, Nicholas Heitman is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.
When was this NPI record last updated?
The NPPES record for Nicholas Heitman was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Nicholas John Heitman, MD · NPI 1619618535
Dermatology physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1619618535 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 342299 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 17 E 102ND ST FL 4, New York, NY 10029-5204
- **Phone:** (212) 659-8554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Icahn School Of Medicine At Mount Sinai (NPI 1922365915, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2022
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619618535) · Data from the CMS NPPES public registry.