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MILAGRO ESMERALDA HEREDIA MD
NPI 1265091136
General Practice in Haines City, FL

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
608 INGRAHAM AVE, HAINES CITY, FL 33844(863) 422-9562(863) 421-3246 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2024, May 1, 2024, Dec 8, 2023 and 3 more (6 updates tracked since 2019).

About Milagro Esmeralda Heredia Md NPPES

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

MILAGRO ESMERALDA HEREDIA MD (NPI 1265091136) is an individual general practice provider in Haines City, Florida, licensed in Florida (ACN1447) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Haines City, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265091136
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMILAGRO ESMERALDA HEREDIACredential: MD
Location Address608 INGRAHAM AVEHaines City, FL 33844-4330
Mailing AddressPo Box 4189Deerfield Beach, FL 33442-4189 · (954) 363-9582 · Fax (954) 363-9663
Phone(863) 422-9562
Fax(863) 421-3246
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 13, 2019
Last NPPES UpdateMay 17, 20246 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1265091136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1447
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
608 INGRAHAM AVE, Haines City, FL 33844
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Secondary Practice Location 1

Location 1175 Patterson RdHaines City, FL 33844-7803 · Phone (863) 358-4849 · Fax (863) 358-4580

Other Identifiers 1

Medicaid116755000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Milagro Esmeralda Heredia Md 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 ID4183088701
PECOS Enrollment IDI20230915001472
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 Reassignment

Medicare enrollment records show Milagro Heredia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palm Medical Center Lakeland LLC
21 mi
Clinic/Center
135 E 1ST ST
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Health Holdings Company LLC
  • 69 clinicians in this Medicare group
NPI 1437650579 (863) 686-2728

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

Areas of Expertise CMS Part B claims 4

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 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.
43 services31 patients
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.
25 services21 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
16 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services14 patients

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.

HAINES CITY INTERNAL MEDICINE PA
Internal Medicine
608 INGRAHAM AVE
HAINES CITY, FL 33844
Polk County (863) 422-9562
LESLIE ORTIZ MD
General Practice
608 INGRAHAM AVE
HAINES CITY, FL 33844
Polk County (863) 422-9562

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 Milagro Heredia's NPI number?

The NPI number for Milagro Heredia is 1265091136. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Milagro Heredia located?

Milagro Heredia practices at 608 Ingraham Ave, Haines City, FL 33844. The listed phone number is (863) 422-9562.

What is Milagro Heredia's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Milagro Heredia enrolled in Medicare?

Yes. Milagro 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.

Which organization bills Medicare for Milagro Heredia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milagro Heredia reassigns Medicare benefits to Palm Medical Center Lakeland LLC (Lakeland, FL). The 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 Milagro Heredia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Milagro Heredia accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Milagro Heredia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Milagro Heredia was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.