NPIMap

Individual provider Active NPI

David L Heredia, MD

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1104980408
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8073 Issued in TX
Practice address
601 Texan TRL Ste 200
Corpus Christi, TX 78411-2551
Phone
(361) 808-7200
Fax
(361) 653-0431
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L8073 TX Primary

Addresses

Primary practice location

601 Texan TRL Ste 200
Corpus Christi, TX 78411-2551

Mailing address

1500 Wildcat Dr
Suite H
Portland, TX 78374-2826
Phone (361) 777-3330

Other identifiers 1

IdentifierTypeStateIssuer
1671455MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001519 TX Practitioner - Internal Medicine 9234112731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Monzer H Yazji MD and Associates PLLCGroup PAC ID 2062470529, 83 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

601 Texan TRL
Suite 200
Corpus Christi, TX 78411-2551
Phone (361) 808-7200

Hospital & facility affiliations

  • Corpus Christi Healthcare at Home Home health agency, Corpus Christi, TX, CCN 679637
  • Aadi Home Health Home health agency, Corpus Christi, TX, CCN 679617
  • Assist Home Health Home health agency, Corpus Christi, TX, CCN 747600
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Rehabilitation Hospital Inpatient rehabilitation facility, Corpus Christi, TX, CCN 673053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Jan 1, 2023 Accepting new patients
Monzer H Yazji MD & Associates PLLC Internal Medicine CurrentSince Mar 19, 2025 Accepting new patients
Health and Human Services Commission CurrentSince Jan 1, 2023 Accepting new patients

Locations

201 Mariposa
Alice, TX 78332
Phone (361) 664-8811

601 Texan Trl
Ste 200
Corpus Christi, TX 78411
Phone (361) 225-2255

3945 Interstate Highway 69 Access Rd
Corpus Christi, TX 78410
Phone (361) 767-1500

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

Interoperability endpoints

  • Direct secure messaging: david.heredia.1@33464.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1104980408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WILDCAT DR",
            "address_2": "SUITE H",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742826",
            "telephone_number": "361-777-3330",
            "fax_number": "361-777-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112551",
            "telephone_number": "361-808-7200",
            "fax_number": "361-653-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1671455",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.