Active NPI
Kimberly Ann Heroux, MD
- Obstetrics & Gynecology Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME96455
- Practice address
- 4495 Military TRL
#101
Jupiter, FL 33458-4839 - Phone
- (561) 799-3722
- Fax
- (561) 799-3692
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME96455 | FL | Primary |
Addresses
Primary practice location
4495 Military TRL
#101
Jupiter, FL 33458-4839
Mailing address
1395 S State Road 7
#450
Wellington, FL 33414-9325
Phone (561) 798-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276148300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KIMBERLY.HEROUX@hca4.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Virginia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1713 Hwy 441 N
Suite F
Okeechobee, FL 34972-1900
Phone (863) 763-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96455 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Women's Health and Body, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Raulerson GYN LLC | Past | Accepting new patients |
Locations
8188 S Jog Rd
Ste 203
Boynton Beach, FL 33472
Phone (561) 740-1191
4495 Military Trl
Ste 101
Jupiter, FL 33458
Phone (561) 799-3722
1395 S State Road 7
Ste 450
Wellington, FL 33414
Phone (561) 798-1233
560 Village Blvd
Ste 315
West Palm Beach, FL 33409
Phone (561) 616-9988
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Wellington, FL
- NPI 1558750281
-
- Obstetrics Physician
- Okeechobee, FL
- NPI 1356528210
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba HCA Florida Raulerson Hospital
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1124026497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 S STATE ROAD 7",
"address_2": "#450",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334149325",
"telephone_number": "561-798-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 MILITARY TRL",
"address_2": "#101",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584839",
"telephone_number": "561-799-3722",
"fax_number": "561-799-3692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEROUX",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME96455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276148300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KIMBERLY.HEROUX@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "4495 Military Trl",
"address_2": "#101",
"city": "Jupiter",
"state": "FL",
"country_code": "US",
"postal_code": "334584839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.