MEDICARE: MR. MICHAEL H. HEIT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	01068201A	IN
2	207VG0400X	Gynecology Physician	30391	KY
3	207V00000X	Obstetrics & Gynecology Physician	01068201A	IN
4	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	91850	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	266430677	OTHER	IN	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336143031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL H. HEIT MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE STE 436
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1633 N. CAPITOL AVENUE
Second Line	:	SUITE 436
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1264
Country	:	US
Telephone Number	:	317-962-6603
Fax Number	:	317-962-2049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	08/11/2022

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Directions to “ MR. MICHAEL H. HEIT MD” Practice Location

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