HERIBERTO ENRIQUE MATOS SANTANA M.D.
NPI 1487020897
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Birmingham, AL

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment
1900 UNIVERSITY BLVD THT BUILDING 311, BIRMINGHAM, AL 35294(973) 971-5000 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Jun 23, 2018 (2 updates tracked since 2018).

About Heriberto Enrique Matos Santana M.d. NPPES

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

HERIBERTO ENRIQUE MATOS SANTANA M.D. (NPI 1487020897) is an individual advanced heart failure and transplant cardiology provider in Birmingham, Alabama, licensed in Alabama (37209) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487020897
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameHERIBERTO ENRIQUE MATOS SANTANACredential: M.D.
Location Address1900 UNIVERSITY BLVD THT BUILDING 311Birmingham, AL 35294
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 19, 2015
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1487020897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in AL · 37209
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0000000
1900 UNIVERSITY BLVD THT BUILDING 311, Birmingham, AL 35294

Secondary Practice Location 1

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 934-3438 · Fax (205) 975-9320

Accepted 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

Heriberto Enrique Matos Santana M.d. 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 ID9931569696
PECOS Enrollment IDI20230713002139
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 19

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.
200 services169 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
155 services155 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
105 services35 patients
Injection, perflutren lipid microspheres, per ml Q9957
Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.
74 services37 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
48 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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.

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 Heriberto Matos Santana's NPI number?

The NPI number for Heriberto Matos Santana is 1487020897. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Heriberto Matos Santana located?

Heriberto Matos Santana practices at 1900 University Blvd Tht Building 311, Birmingham, AL 35294. The listed phone number is (973) 971-5000.

What is Heriberto Matos Santana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Heriberto Matos Santana enrolled in Medicare?

Yes. Heriberto Matos Santana 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 Heriberto Matos Santana accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Heriberto Matos Santana 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 Heriberto Matos Santana was last updated on February 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.