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ELIZABETH W HEREDIA
NPI 1194755843
Family Medicine in St Charles, IL

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2900 FOXFIELD RD, ST CHARLES, IL 60174(630) 377-7900(630) 377-8007 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth W Heredia NPPES

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

ELIZABETH W HEREDIA (NPI 1194755843) is an individual family medicine provider in St Charles, Illinois, licensed in Illinois (036092002) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1993).

NPPES Registry Identity

NPI1194755843
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH W HEREDIA
Location Address2900 FOXFIELD RDSt Charles, IL 60174-5799
Mailing Address2900 Foxfield RdSt Charles, IL 60174-5799 · (630) 377-7900 · Fax (630) 377-8007
Phone(630) 377-7900
Fax(630) 377-8007
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1993
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 4, 2013
✔ NPI 1194755843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036092002
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2900 FOXFIELD RD, St Charles, IL 60174
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Other Identifiers 6

Medicare UPING42217IL
Other3631498336019001IL · Cdpg Hfs Payee Id
Other0222075IL · Blue Cross Group Number
Medicaid036100523IL
Medicare PIN080114840IL
Medicare ID-Type Unspecified920540IL · Medicare Group Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth W Heredia is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860685021
PECOS Enrollment IDI20101020000321
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services24 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60174 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DAVID W FLATT D.C.
Chiropractor (Orthopedic)
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
MICHELLE S. KRAMER ATC
Specialist/Technologist (Athletic Trainer)
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 587-5788
MRS. PAMELA MARIE DENHOF ATC
Specialist
2900 FOXFIELD RD, LLA
ST CHARLES, IL 60174
Kane County (630) 587-5788
LAURA KOEPPEL TAGLE MD
Internal Medicine
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
DUKANE ALLERGY ASSOCIATES. LTD
Preferred Provider Organization
2900 FOXFIELD RD, SUITE 206
ST CHARLES, IL 60174
Kane County (630) 584-6127
SCOTT DUNCAN MCNAUGHTON M.D.
Internal Medicine
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
MARIO BLANQUEL
Specialist/Technologist (Athletic Trainer)
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 208-3200
DR. ROBERT J CALABRIA D.O.
Family Medicine
2900 FOXFIELD RD
ST CHARLES, IL 60174
Kane County (630) 513-8275

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 Elizabeth Heredia's NPI number?

The NPI number for Elizabeth Heredia is 1194755843. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Elizabeth Heredia located?

Elizabeth Heredia practices at 2900 Foxfield Rd, St Charles, IL 60174. The listed phone number is (630) 377-7900.

What is Elizabeth Heredia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elizabeth Heredia enrolled in Medicare?

Yes. Elizabeth Heredia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elizabeth Heredia affiliated with any hospitals?

According to CMS data, Elizabeth Heredia is affiliated with Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Heredia was last updated on April 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.