Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David G Heidemann, MD

Individual provider Ophthalmology Physician · NPI 1073504122

David G Heidemann, MD is an Ophthalmology in Southfield, Michigan. Graduated from Wayne State University School of Medicine in 1982, 44 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
44
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

29201 Telegraph Rd Ste 101
Southfield, MI 48034-1331
Phone: (248) 350-1130
Fax: (248) 350-2709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 W 13 Mile Rd Ste 555, Royal Oak, MI 48073-6770 — (248) 551-2020

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301048651 (MI)

Record details

NPI number1073504122
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 28, 2005
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address29201 Telegraph Rd, Suite 101, Southfield, MI 48034-1331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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