Individual provider Active NPI

Gerardo Manuel Heredia Melero, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Fort Wayne, IN
National Provider Identifier
1174839401
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
01099156A Issued in IN
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

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100488350MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20171026000279 KY Practitioner - Obstetrics/Gynecology 0648413583 Reassigns benefits to 1 organization
I20260304000935 IN Practitioner - Obstetrics/Gynecology 0648413583 Reassigns benefits to 1 organization

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
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians

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 Hospital, Lexington, KY, CCN 180067
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01099156AINMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
50803KYMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System, Inc. Obstetrics & Gynecology CurrentSince Feb 24, 2026 Accepting new patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology CurrentSince Sep 8, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.