Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID HEREDIA SIERRA MD
NPI 1700293990
Internal Medicine - Interventional Cardiology in Juana Diaz, PR

Active since July 19, 2014PECOS EnrolledAccepts Medicare Assignment
87.68/100
CMS Quality Rating
CALLE HOSTOS 111 LOCAL 1A 1B, JUANA DIAZ, PR 00795(787) 676-5782(787) 710-2372 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 7, 2026, Apr 1, 2025, Dec 11, 2023 and 5 more (8 updates tracked since 2019).

About Dr. David Heredia Sierra Md NPPES

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

DR. DAVID HEREDIA SIERRA MD (NPI 1700293990) is an individual interventional cardiology provider in Juana Diaz, Puerto Rico, licensed in Puerto Rico (19960) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Hospital Menonita De Aibonito, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700293990
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. DAVID HEREDIA SIERRACredential: MD
Location AddressCALLE HOSTOS 111 LOCAL 1A 1BJuana Diaz, PR 00795-1677
Mailing AddressPo Box 336Mercedita, PR 00715-0336 · (787) 676-5782 · Fax (787) 710-2372
Fax(787) 710-2372
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2014
Enumeration DateJuly 19, 2014
Last NPPES UpdateOctober 7, 20268 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1700293990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in PR · 19960
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Secondary Practice Locations 2

Location 1174 LUIS BARRERAS S 001 SOTANO, OFIC TFCAYEY, PR 00736-4615 · Phone (787) 738-7595 · Fax (787) 710-2372
Location 2OFICINA TF CARR PR 506 KM 1.0 COTO LAURELCOTO LAUREL, PR 00780-2539 · Phone (787) 676-5780 · Fax (787) 710-2372

Accepted 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

Dr. David Heredia Sierra 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 ID2668703836
PECOS Enrollment IDI20191021000356
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 David Heredia Sierra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
101 CALLE COMERCIO
Juana Diaz, PR 00795
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group

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 8

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.
99 services85 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services19 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.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Menonita De Aibonito

Acute Care Hospitals · Aibonito, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400018
LocationCalle Jose C Vasquez Bo. CaonillasAibonito, PR 00705 · Aibonito County
Emergency services

Hospital Menonita Ponce

Acute Care Hospitals · Ponce, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400113
LocationCarr Pr 506 Km 1 0 Bo Coto LaurelPonce, PR 00780 · Ponce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00795 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.74
Improvement Activities40

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 David Heredia Sierra's NPI number?

The NPI number for David Heredia Sierra is 1700293990. It was assigned to this individual provider in the NPPES registry on July 19, 2014.

Where is David Heredia Sierra located?

David Heredia Sierra practices at Calle Hostos 111 Local 1A 1B, Juana Diaz, PR 00795. The listed phone number is (787) 676-5782.

What is David Heredia Sierra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is David Heredia Sierra enrolled in Medicare?

Yes. David Heredia Sierra 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 David Heredia Sierra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Heredia Sierra reassigns Medicare benefits to Interventional Cardiology Group LLC (Juana Diaz, PR). 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 David Heredia Sierra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Heredia Sierra accept?

Health plans from Blue Cross and Blue Shield of Texas list David Heredia Sierra 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.

Is David Heredia Sierra affiliated with any hospitals?

According to CMS data, David Heredia Sierra is affiliated with Hospital Menonita De Aibonito and Hospital Menonita Ponce.

When was this NPI record last updated?

The NPPES record for David Heredia Sierra was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.