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

Teresa Carol Heatly, MD

Individual provider Internal Medicine Physician · NPI 1366466039

Teresa Carol Heatly, MD is a Pulmonary Disease in Mesa, Arizona. Qualified in 1989, 37 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Wisconsin.

Years since qualifying
37
Licensed in
AZ, WI
In the registry since
2006
Specialties on file
4
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

5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346
Phone: (480) 290-7000
Fax: (480) 325-3461
Show map & directions

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

Additional practice locations (2)

  • 2550 W Union Hills Dr Ste 390, Phoenix, AZ 85027-5197 — (602) 443-4068
  • 1821 S Webster Ave, Green Bay, WI 54301-2253 — (920) 496-4700

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 23465 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 23465 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 3600-320 (WI)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 3600-320 (WI)

Record details

NPI number1366466039
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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