Heidi Heras, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

370655-1205 Issued in UT

Practice address

482 W 50 N
Suite 14
American Fork, UT 84003-2266

Phone

(801) 492-7662

Fax

(801) 492-7663

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

OtolaryngologyAlso: Dermatology, Obstetrics/Gynecology, Pediatric Medicine

Education

University of Utah School of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Johnson, APRN

  • Family Nurse Practitioner
  • American Fork, UT
  • NPI 1689282840
  Medicare reassignment

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.

• Heidi a Heras MDPC

  • Otolaryngology Physician
  • American Fork, UT
  • NPI 1073204277
  NPD Authorized official
• Revere Health PC

  dba Revere Health

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1619910684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 W 50 N STE 14",
            "address_2": "CRENDENTIALING DEPARTMENT",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032266",
            "telephone_number": "801-492-7662",
            "fax_number": "801-492-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 W 50 N",
            "address_2": "SUITE 14",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032266",
            "telephone_number": "801-492-7662",
            "fax_number": "801-492-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERAS",
        "first_name": "HEIDI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "370655-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "243245",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "84316",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870281028000",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00264029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "10-00197",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "581492",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870281028HER",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlee Sunshine Hemmert
• Wynn H Hemmert, MD
• Sean Jay Henderson, D.O., F.A.C.O.S.
• Greg Hendrix, L.C.S.W.
• Paul Hepworth, M.D.
• Emilee Hernandez
• Haylee June Heyn, MFT
• Austin Cameron Hill, PHARMD, PHD
• Sarah Ann Hill, NP
• Sydney Beth Hillyard, PHARMD

• Otolaryngology Physician in American Fork, UT
• Providers in American Fork, UT by specialty
• Otolaryngology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.

Verify at the official NPI Registry.