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Physician Profile

Gilberto Heredia, M.D.

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At a glance

About Dr. Heredia

Gilberto Heredia, M.D. is a healthcare provider in Albuquerque, NM specializing in family medicine. Gilberto trained at Baylor College of Medicine, graduating in 1995. According to Medicare claims data, Gilberto cared for 159 Medicare patients across 259 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and hemoglobin a1c level. This provider record is associated with NPI 1649299942.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Family Medicine (Primary)

Credentials & Licensing

NM licenceAs reported to the NPI registry
No. 98288As reported
NPINational Provider Identifier
1649299942Issued 2006

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Gilberto Heredia specialize in?

Gilberto Heredia is a family doctor in Albuquerque, NM. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where is Gilberto Heredia located?

Gilberto Heredia is listed at 4901 Lang Ave Ne, Albuquerque, NM 87109. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Gilberto Heredia's phone number?

The number on file is (505) 842-8171. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Gilberto Heredia's NPI number?

Gilberto Heredia's National Provider Identifier is 1649299942. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Gilberto Heredia train?

Gilberto Heredia attended Baylor College of Medicine, graduating in 1995. This comes from the CMS National Downloadable File.

CMS public data

How long has Gilberto Heredia been practicing?

Gilberto Heredia has 31 years experience. Calculated from a graduation year of 1995, reported in the CMS National Downloadable File.

CMS public data

What does Gilberto Heredia do most often?

According to Medicare billing data, Gilberto Heredia the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Gilberto Heredia confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Gilberto Heredia. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.

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