1. Home
  2. Directory
  3. Illinois
  4. Geneva
  5. Psychiatry Neurology
  6. NPI Profile

ANGEL HEREDIA MD
NPI 1023181070
Psychiatry & Neurology - Child & Adolescent Psychiatry in Geneva, IL

Active since November 16, 2006PECOS Enrolled
1541 E FABYAN PKWY STE 101, GENEVA, IL 60134(630) 845-9644(630) 845-9678 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Angel Heredia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL HEREDIA MD (NPI 1023181070) is an individual child & adolescent psychiatry provider in Geneva, Illinois, licensed in Illinois (036078873) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023181070
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameANGEL HEREDIACredential: MD
Location Address1541 E FABYAN PKWY STE 101Geneva, IL 60134-4105
Mailing Address1541 E Fabyan Pkwy Ste 101Geneva, IL 60134-4105 · (630) 845-9644 · Fax (630) 260-1049
Phone(630) 845-9644
Fax(630) 845-9678
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1023181070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036078873
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1541 E FABYAN PKWY STE 101, Geneva, IL 60134
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Heredia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE PLAINS CLINIC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1541 E FABYAN PKWY STE 101
GENEVA, IL 60134
Kane County (630) 845-9644
DR. LINDA HUBER PHD
Psychologist
1541 E FABYAN PKWY STE 101
GENEVA, IL 60134
Kane County (630) 845-9644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Heredia's NPI number?

The NPI number for Angel Heredia is 1023181070. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Angel Heredia located?

Angel Heredia practices at 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134. The listed phone number is (630) 845-9644.

What is Angel Heredia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Angel Heredia enrolled in Medicare?

Yes. Angel Heredia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angel Heredia was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.