Ihab Herraka, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME111070 Issued in FL

Practice address

5196 Mariner Blvd
Spring Hill, FL 34609-1802

Phone

(352) 263-2831

Fax

(352) 263-2845

NPI assigned

Oct 10, 2006

Last updated

Nov 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Arkansas Liver and Gastroenterology PAGroup PAC ID 1557672409, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
• Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
• Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

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.

• West Central Gastroenterology LLP

  • Gastroenterology Physician
  • Clearwater, FL
  • NPI 1144454703
  Medicare reassignment Care Compare group NPD
• Arkansas Liver and Gastroenterology PA

  • Clinic/Center
  • Fort Smith, AR
  • NPI 1932586260
  Medicare reassignment Care Compare group
• North Tampa Physician Associates LLC

  • Multi-Specialty Clinic/Center
  • Spring Hill, FL
  • NPI 1528608155
  Authorized official Same address or phone
• Arkansas Liver and Gastroenterology, P.a.

  dba The Liver Care Clinic

  • Gastroenterology Physician
  • Mena, AR
  • NPI 1316493307
  NPD (past) Authorized official
• Arkansas Liver and Gastroenterology, P.a.

  dba The Liver Care Clinic

  • Gastroenterology Physician
  • Bentonville, AR
  • NPI 1871049932
  NPD (past) Authorized official
• Arkansas Liver and Gastroenterology, P.a.

  dba The Liver Care Clinic

  • Gastroenterology Physician
  • Muskogee, OK
  • NPI 1942756945
  NPD (past) Authorized official
• Arkansas Liver and Gastroenterology, P.a.

  dba The Liver Care Clinic

  • Gastroenterology Physician
  • Broken Arrow, OK
  • NPI 1992254346
  NPD (past) Authorized official
• Arkansas Liver and Gastroenterology, PA

  dba Southside Specialty Pharmacy

  • Clinic Pharmacy
  • Fort Smith, AR
  • NPI 1194186056
  NPD (past) Authorized official
• Southside Specialty Pharmacy

  • Specialty Pharmacy
  • Fort Smith, AR
  • NPI 1497114144
  NPD (past) Authorized official
• Access Health Care LLC

  • Family Medicine Physician
  • Beverly Hills, FL
  • NPI 1043453020
  NPD (past)
• Arkansas Liver and Gastroenterology

  • Gastroenterology Physician
  • Fort Smith, AR
  • NPI 1114872157
  NPD (past)
• Arkansas Liver and Gastroenterology PA

  • Gastroenterology Physician
  • Fort Smith, AR
  • NPI 1588519680
  NPD (past)

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

• Florida Hospital Zephyrhills Inc

  dba AdventHealth Zephyrhills

  • General Acute Care Hospital
  • Zephyrhills, FL
  • NPI 1346354677
  Care Compare affiliation
• Pasco-Pinellas Hillsborough Community Health System Inc

  dba AdventHealth Wesley Chapel

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1073893020
  Care Compare affiliation
• Baptist Health Regional Hospitals

  dba Baptist Health - Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1174610018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR",
            "address_2": "STE 305",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5196 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091802",
            "telephone_number": "352-263-2831",
            "fax_number": "352-263-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 Old Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035462",
            "country_code": "US",
            "telephone_number": "479-441-5565",
            "fax_number": "479-441-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRAKA",
        "first_name": "IHAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN10010",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-7210",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "31083",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E7210",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME111070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193771001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200449360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hernando Healthcare Associates PA
• Hernando Hma LLC (Bravera Health Spring Hill)
• Hernando Primary Health LLC
• Hernando Radiology Consultants PL
• Hernando Therapy and Wellness
• Luis Fernando Herrera -Behr, MD
• Robert W. Heydrich, D.M.D., M.S.
• Jenna N Heywood
• Sean Patrick Hickey, PA
• Johntavia K Hickman

• Gastroenterology Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.

Verify at the official NPI Registry.