Individual provider Active NPI

Gloria Patricia Herrera, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1629031109
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200001243676 Issued in NC
Practice address
3200 Blue Ridge Rd
Suite 224
Raleigh, NC 27612-8086
Phone
(919) 783-8334
Fax
(919) 783-8160
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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 200001243676 NC Primary

Addresses

Primary practice location

3200 Blue Ridge Rd
Suite 224
Raleigh, NC 27612-8086

Mailing address

3200 Blue Ridge Rd
Suite 224
Raleigh, NC 27612-8086
Phone (919) 783-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040907001358 NC Practitioner - Internal Medicine 7517933997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1004 Dresser CT
Suite 106
Raleigh, NC 27609-7325
Phone (919) 783-8334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200001243676NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G. Patricia Herrera MD PA Internal Medicine CurrentSince Jun 5, 2003 Accepting new patients
Ashley S Desaix DDS PA PastSince Jun 1, 2022 Accepting new patients

Locations

1004 Dresser Ct
Ste 106
Raleigh, NC 27609
Phone (919) 783-8334

2501 Atrium Dr
Ste 310
Raleigh, NC 27607
Phone (919) 783-7554

Organizations & group practices 2

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1629031109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD",
            "address_2": "SUITE 224",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128086",
            "telephone_number": "919-783-8334",
            "fax_number": "919-783-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD",
            "address_2": "SUITE 224",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128086",
            "telephone_number": "919-783-8334",
            "fax_number": "919-783-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "GLORIA",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200001243676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.