Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heidi Danielle Portillo, PA-C

Individual provider Physician Assistant · NPI 1629751490

Heidi Danielle Portillo, PA-C is a Physician Assistant in Hilton Head Island, South Carolina. Qualified in 2023, 3 years ago. Works from 14 locations. Licensed in Indiana, Ohio and South Carolina.

Years since qualifying
3
Licensed in
IN, OH, SC
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25 Hospital Center Blvd
Hilton Head Island, SC 29926-2793
Phone: (843) 681-6122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (13)

  • 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 — (937) 702-4500
  • 1997 Miamisburg Centerville Rd, Centerville, OH 45459-3811 — (937) 401-6228
  • 405 W Grand Ave, Dayton, OH 45405-7538 — (937) 723-3211
  • 450f Washington Jackson Rd, Eaton, OH 45320-8699 — (937) 456-8376
  • 100 Kettering Way, Franklin, OH 45005-1155 — (937) 458-4700
  • 8701 Troy Pike, Huber Heights, OH 45424-1066 — (937) 558-3338
  • 3535 Southern Blvd, Kettering, OH 45429-1221 — (937) 395-8166
  • 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 — (937) 384-8791
  • 6147 State Route 122, Middletown, OH 45005-5201 — (513) 261-3410
  • 1 Kettering Way, Piqua, OH 45356-4146 — (937) 916-2625
  • 2300 N Limestone St, Springfield, OH 45503-1102 — (937) 504-8305
  • 600 W Main St, Troy, OH 45373-3384 — (937) 980-7010
  • 1141 N Monroe Dr, Xenia, OH 45385-1619 — (937) 352-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6385 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 50.008304RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 10004930A (IN)

Record details

NPI number1629751490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Hilton Head Island