Active NPI
Gerardo Manuel Heredia Melero, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 01099156A
- Practice address
- 11123 Parkview Plaza Dr Ste 102
Fort Wayne, IN 46845-1707 - Phone
- (260) 425-5240
- Fax
- (260) 425-5245
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 01099156A | IN | Primary |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 50803 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | 50803 | KY |
Addresses
Primary practice location
11123 Parkview Plaza Dr Ste 102
Fort Wayne, IN 46845-1707
Mailing address
125 E Maxwell St Ste 300
Lexington, KY 40508-2678
Other practice location 1
200 Hawkins Dr
Department of Obstetrics and Gynecology
Iowa City, IA 52242-1009
Phone (319) 467-5297
Other practice location 2
125 E Maxwell St Ste 140
Lexington, KY 40508-2678
Phone (859) 323-0005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100488350 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800
11123 Parkview Plaza Dr
Fort Wayne, IN 46845-1707
125 E Maxwell St
Lexington, KY 40508-2678
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 425-6030
2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426
310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7006
310 S Limestone St
Lexington, KY 40508-3008
Phone (859) 226-7750
8028 Carnegie Blvd
Suite 400
Fort Wayne, IN 46804-5788
Phone (260) 747-5572
Hospital & facility affiliations
- University of Kentucky Hospital
- Parkview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01099156A | IN | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
| 50803 | KY | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Kentucky Medical Services Foundation, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
11123 Parkview Plaza Dr
Ste 102
Fort Wayne, IN 46845
Phone (260) 425-5240
125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
125 E Maxwell St
Ste 300
Lexington, KY 40508
Phone (859) 422-4340
125 E Maxwell St
Ste 140
Lexington, KY 40508
Phone 8593230005 ext. 85932
Interoperability endpoints
- gherediamelero21386@ukhcdirect.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Obstetrics & Gynecology
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
- NPI 1720190002
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1174839401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E MAXWELL ST STE 300",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 PARKVIEW PLAZA DR STE 102",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451707",
"telephone_number": "260-425-5240",
"fax_number": "260-425-5245"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_2": "Department of Obstetrics and Gynecology",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-467-5297",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 E Maxwell St Ste 140",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405082678",
"country_code": "US",
"telephone_number": "859-323-0005",
"fax_number": "859-323-0790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEREDIA MELERO",
"first_name": "GERARDO",
"middle_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "IN",
"license": "01099156A",
"primary": true
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "KY",
"license": "50803",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "50803",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100488350",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.