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

Michael Heder, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629563572

Michael Heder, DO is a Family Practice in Heber, Utah. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2018, 8 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Utah.

Years since qualifying
8
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
IL, UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1300 S US-89
Heber, UT 84032
Phone: (435) 657-8000
Fax: (435) 657-8001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Main St Ste C, Peoria, IL 61602-1080 — (309) 672-4977

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12292652-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1629563572
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2018
Last updated in NPPESJuly 27, 2021
Certification dateJune 29, 2021
Mailing address1150 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2018 (8 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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