Individual provider Active NPI

Victor Luis Herrera, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1043594062
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3517 Issued in FL
Practice address
2540 Winkler Ave
Fort Myers, FL 33901-9338
Phone
(239) 278-4100
NPI assigned
Oct 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD-001096 AZ
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3517 FL Primary

Addresses

Primary practice location

2540 Winkler Ave
Fort Myers, FL 33901-9338

Mailing address

2540 Winkler Ave
Fort Myers, FL 33901-9338
Phone (239) 278-4100

Other practice location 1

5304 S Florida Ave Ste 408
Lakeland, FL 33813-2519
Phone (863) 738-6601

Other practice location 2

3659 S Miami Ave
Bayside, Suite 3008
Miami, FL 33133-4227
Phone (305) 859-7777

Other practice location 3

Corner of Rt N12 & N7
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000

Other practice location 4

1003 Del Prado Blvd S Ste 303
Cape Coral, FL 33990-3601
Phone (239) 689-3843

Other practice location 5

1601 N Tucson Blvd Ste 15
Tucson, AZ 85716-3406
Phone (520) 209-1919

Other practice location 6

4739 N 1st Ave
Tucson, AZ 85718-5610
Phone (520) 423-5600

Other practice location 7

5050 Asbury Parke Dr Apt 105
Lakeland, FL 33805-9588
Phone (904) 660-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120917000704 FL Practitioner - PodiatryPractitioner - General PracticePractitioner - Family PracticePractitioner - Pain Management 5193972701 Reassigns benefits to 1 organization
I20240109003691 AZ Practitioner - Podiatry 5193972701 Reassigns benefits to 1 organization
I20250416000537 TX Practitioner - Podiatry 5193972701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy C Runyon DPM PAGroup PAC ID 4486568250, 8 clinicians

Practice addresses (Care Compare)

2540 Winkler Ave
Fort Myers, FL 33901-9338
Phone (239) 278-4100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3517FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbelt Medical Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Sunbelt Medical Group LLC Foot & Ankle Surgery CurrentSince Jan 1, 2024 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Apr 7, 2025 Accepting new patients
Martha G Herrera DPM PA Foot & Ankle Surgery PastSince Jun 25, 2012 Accepting new patients
Omega Health and Nutrition LLC PastSince Sep 9, 2020 Accepting new patients

Locations

1601 N Tucson Blvd
Ste 15
Tucson, AZ 85716
Phone (520) 209-1919

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

4739 N 1st Ave
Tucson, AZ 85718
Phone (520) 297-7004

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1043594062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100",
            "fax_number": "239-278-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5304 S Florida Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132519",
            "country_code": "US",
            "telephone_number": "863-738-6601",
            "fax_number": "863-937-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3659 S Miami Ave",
            "address_2": "BAYSIDE, SUITE 3008",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334227",
            "country_code": "US",
            "telephone_number": "305-859-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Corner of Rt N12 & N7",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "865040649",
            "country_code": "US",
            "telephone_number": "928-729-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Del Prado Blvd S Ste 303",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903601",
            "country_code": "US",
            "telephone_number": "239-689-3843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N Tucson Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857163406",
            "country_code": "US",
            "telephone_number": "520-209-1919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4739 N 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857185610",
            "country_code": "US",
            "telephone_number": "520-423-5600",
            "fax_number": "520-822-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Asbury Parke Dr Apt 105",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338059588",
            "country_code": "US",
            "telephone_number": "904-660-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "VICTOR",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD-001096",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.