GUSTAVO R HEUDEBERT MD
NPI 1225064298
Internal Medicine in Montgomery, AL

Q: What is Gustavo Heudebert's NPI number?

The NPI number for Gustavo Heudebert is 1225064298. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Q: What is Gustavo Heudebert's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gustavo Heudebert was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 23, 2006PECOS Enrolled

2055 E SOUTH BLVD STE 202, MONTGOMERY, AL 36116(334) 284-5211(334) 284-9020 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018 (2 updates tracked since 2018).

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About Gustavo R Heudebert Md NPPES

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

GUSTAVO R HEUDEBERT MD (NPI 1225064298) is an individual internal medicine provider in Montgomery, Alabama, licensed in Alabama (19069) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1225064298

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGUSTAVO R HEUDEBERTCredential: MD

Location Address2055 E SOUTH BLVD STE 202Montgomery, AL 36116-2002

Mailing Address2055 E South Blvd Ste 202Montgomery, AL 36116-2002 · (334) 284-5211 · Fax (334) 284-9020

Phone(334) 284-5211

Fax(334) 284-9020

Sole ProprietorNo

Enumeration DateJune 23, 2006

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1225064298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AL · 19069

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2055 E SOUTH BLVD STE 202, Montgomery, AL 36116

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Secondary Practice Location 1

Location 1619 19th Street SouthBirmingham, AL 35233 · Phone (205) 934-4011

Other Identifiers 7

Other000025535AL · Blue Cross

OtherF07687AL · Viva

Other000045092AL · Blue Cross

Medicaid000025535AL

Other20604AL · Healthspring Of Alabama

Medicaid000045092AL

Other110123736AL · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustavo R Heudebert 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Other Providers at the Same Location NPPES 5

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

KRISHNA VARDHAN VENKATA DASARI LAKSHMI M.D

Internal Medicine