DR. GREGORY MARK HEIDEMAN M.D. NPI 1295820546

NPI Information

  • NPI: 1295820546
  • Provider Name: DR. GREGORY MARK HEIDEMAN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 E LAYTON AVE
    ST FRANCIS, WI
    ZIP 53235
  • Phone: (414) 744-6589

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NPI Details

DR. Gregory Mark Heideman, M.D. is a diagnostic radiology radiology in St Francis, WI with 20 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Gregory Mark Heideman, M.D. NPI is 1295820546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

2000 E LAYTON AVE
ST FRANCIS, WI
ZIP 53235-053
Phone: (414) 744-6589

The NPI 1295820546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray series of abdomen with single x-ray of chest (HCPCS:74022)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology49522-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100008514MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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