Individual provider Active NPI

Herminia Gumabay Herrera-Tan, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1295812774
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29828 Issued in AZ
Practice address
9515 W Camelback Rd Ste 136
Phoenix, AZ 85037-1364
Phone
(623) 322-8906
Fax
(623) 322-8430
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29828 AZ Primary

Addresses

Primary practice location

9515 W Camelback Rd Ste 136
Phoenix, AZ 85037-1364

Mailing address

9515 W Camelback Rd Ste 136
Phoenix, AZ 85037-1364
Phone (623) 322-8906

Other practice location 1

9305 W Thomas Rd Ste 400
Phoenix, AZ 85037-3369
Phone (623) 322-8906

Other names 1

  • Dr. Herminia Gumabay Herrera Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address herminia.herrera-tan.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000233 AZ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6002919875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care Az PCGroup PAC ID 9830576354, 47 clinicians
Centerwell Senior Primary Care Az CS PCGroup PAC ID 6800318049, 5 clinicians

Practice addresses (Care Compare)

6544 W Thomas Rd
Suite 11
Phoenix, AZ 85033-5740
Phone (602) 834-5515

9515 W Camelback Rd
Suite 136
Phoenix, AZ 85037-1364
Phone (623) 322-8906

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29828AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Internal Medicine CurrentSince Sep 26, 2024 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care Az CS PC Internal Medicine CurrentSince Jan 9, 2025 Accepting new patients
Centerwell Senior Primary Care Az CS PC Internal Medicine CurrentSince Jan 9, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine CurrentSince Sep 26, 2024 Accepting new patients
Centerwell Senior Primary Care Az CS PC Internal Medicine Past Accepting new patients
Affiliated Cardiologists of Arizona, P.C. Past Accepting new patients

Locations

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

9515 W Camelback Rd
Ste 136138
Phoenix, AZ 85037
Phone (623) 322-8906

9515 W Camelback Rd
Ste 136
Phoenix, AZ 85037
Phone (623) 322-8906

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAIICA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBFDD/Endpoint/FBBFDD
  • Direct secure messaging: herminia.herrera-tan.2@29601.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1295812774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371364",
            "telephone_number": "623-322-8906",
            "fax_number": "623-322-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 W CAMELBACK RD STE 136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371364",
            "telephone_number": "623-322-8906",
            "fax_number": "623-322-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9305 W Thomas Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373369",
            "country_code": "US",
            "telephone_number": "623-322-8906",
            "fax_number": "623-322-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA-TAN",
        "first_name": "HERMINIA",
        "middle_name": "GUMABAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "herminia.herrera-tan.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "9515 W Camelback Rd Ste 136",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850371364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HERMINIA",
            "last_name": "HERRERA",
            "middle_name": "GUMABAY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.