Individual provider Active NPI

Daniel De Los Heros, M.D

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1578971032
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
276328 Issued in NY
Practice address
121 Dekalb Ave
3Rd Floor, Maynard Building, OB/GYN Department
Brooklyn, NY 11201-5425
Phone
(718) 250-8000
NPI assigned
Jul 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 276328 NY Primary

Addresses

Primary practice location

121 Dekalb Ave
3Rd Floor, Maynard Building, OB/GYN Department
Brooklyn, NY 11201-5425

Mailing address

121 Dekalb Ave
3Rd Floor, Maynard Building, OB/GYN Department
Brooklyn, NY 11201-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190930000248 MD Practitioner - Obstetrics/Gynecology 9537481544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276328NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2021 Accepting new patients
Susquehanna OB-GYN LLC Obstetrics & Gynecology CurrentSince Aug 26, 2019 Accepting new patients
The Brooklyn Hospital Center Obstetrics & Gynecology Past Accepting new patients
Harbor Hospital, Inc. Past Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 301
Bel Air, MD 21014
Phone (410) 643-4300

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

308 N Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-3121

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.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1578971032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "3RD FLOOR, MAYNARD BUILDING, OB/GYN DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "3RD FLOOR, MAYNARD BUILDING, OB/GYN DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS HEROS",
        "first_name": "DANIEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "276328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.