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

Q: 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.

Q: What is Milagro Heredia's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

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.

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.

What insurance does Milagro Heredia accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers 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.