Provider Demographics
NPI:1336143031
Name:HEIT, MICHAEL H (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:H
Last Name:HEIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE STE 436
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1633 N. CAPITOL AVENUE
Practice Address - Street 2:SUITE 436
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1264
Practice Address - Country:US
Practice Address - Phone:317-962-6603
Practice Address - Fax:317-962-2049
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01068201A207VF0040X, 207V00000X
KY30391207VG0400X
GA91850207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200041320Medicaid
IN266430677OtherMEDICARE PIN
KY64303910Medicaid
IN266130001Medicare PIN
KY64303910Medicaid
F5559Medicare UPIN
IN200041320Medicaid