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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gustavo Heudebert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs
Same address
Specialist
2055 E SOUTH BLVD, SUITE 601
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1881881266 (334) 281-9000
University Of Alabama At Birmingham
Same address
Internal Medicine
2055 E SOUTH BLVD, SUITE 202
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group
NPI 1184738478 (334) 284-5211
University Of Alabama Health Services Foundation, PC
84 mi
Clinical Medical Laboratory
720 20TH ST S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1164617205 (205) 934-4983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Montgomery County (334) 747-7575
LOUIS ROBERT LAMBIASE MD
Internal Medicine (Gastroenterology)
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Montgomery County (334) 747-7575
DR. ADEDOYIN B DOSUNMU-OGUNBI M.D.
Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Montgomery County (334) 747-7575
YAO PENG MD
Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Montgomery County (334) 747-7575
BINAY KUMAR KSHETREE MD
Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Montgomery County (334) 747-7575

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 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.

Where is Gustavo Heudebert located?

Gustavo Heudebert practices at 2055 E South Blvd Ste 202, Montgomery, AL 36116. The listed phone number is (334) 284-5211.

What is Gustavo Heudebert's specialty?

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

Is Gustavo Heudebert enrolled in Medicare?

Yes. Gustavo Heudebert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gustavo Heudebert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Heudebert reassigns Medicare benefits to 3 organizations: The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL), University Of Alabama At Birmingham (Montgomery, AL) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gustavo Heudebert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.