Active NPI
Kathy Hebert, MD, MMM, MPH
- Cardiovascular Disease Physician
- Miami, FL
National Provider Identifier
1225060494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME0099727
- Practice address
- 1611 NW 12TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005 - Phone
- (305) 585-5544
- Fax
- (305) 585-6490
- NPI assigned
- Jul 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 019062 | LA | |
| Cardiovascular Disease Physician | 207RC0000X | ME0099727 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Mailing address
6061 Collins Ave Apt 17D
Miami Beach, FL 33140-2269
Phone (305) 243-4664
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110155429 | Other | LA | RAILROAD MEDICARE |
| AG803Z | Other | FL | MEDICARE |
| 1936073 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019062 | LA | MD | Internal Medicine Physician |
| ME0099727 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Medical Center | Past | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Past | Accepting new patients | |
| University of Miami | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba University of Miami Cardiovascular Specialists of the Lower Keys
- Cardiovascular Disease Physician
- Key West, FL
- NPI 1538316518
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- Speech-Language Pathologist
- New Orleans, LA
- NPI 1588737803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1225060494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6061 COLLINS AVE APT 17D",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402269",
"telephone_number": "305-243-4664",
"fax_number": "305-243-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "JACKSON MEMORIAL HOSPITAL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-5544",
"fax_number": "305-585-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "KATHY",
"name_prefix": "Dr.",
"credential": "MD, MMM, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "019062",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME0099727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110155429",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "AG803Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1936073",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.