Katherine Heretis, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036138161 Issued in IL

Practice address

7035 North Ave
Oak Park, IL 60302-1015

Phone

(708) 680-3800

Fax

(708) 777-4776

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Cardiovascular Disease (Cardiology)Also: Nuclear Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chicago Cardiology Institute SCGroup PAC ID 6103983176, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049

Merit-based Incentive Payment System (MIPS)

Final score

95.99 of 100Reported as group

Quality

86.16

Promoting interoperability

100

Improvement activities

40

Cost

74.63

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.heretis.p1@direct.chicagocardiology.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Cardiology Institute S.C.

  • Cardiovascular Disease Physician
  • Schaumburg, IL
  • NPI 1568600286
  Medicare reassignment Care Compare group NPD
• Chicago Vascular Clinic LTD

  • Interventional Cardiology Physician
  • Schaumburg, IL
  • NPI 1457788424

  Cardiovascular Disease

  NPD (past)
• Mohammad Waseem Kagzi MD LTD

  dba Midwest Sleep Institute

  • Sleep Medicine (Internal Medicine) Physician
  • Gurnee, IL
  • NPI 1750568960

  Cardiovascular Disease

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Resilience Healthcare-West Suburban Medical Center, LLC

  dba West Suburban Medical Center

  • General Acute Care Hospital
  • Oak Park, IL
  • NPI 1619442266
  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710151550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E WOODFIELD RD STE 300",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734776",
            "telephone_number": "847-605-0030",
            "fax_number": "847-637-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021015",
            "telephone_number": "708-680-3800",
            "fax_number": "708-777-4776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 E Woodfield Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734776",
            "country_code": "US",
            "telephone_number": "847-605-9500",
            "fax_number": "847-605-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERETIS",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IL",
            "license": "036138161",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036138161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036138161",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Hensley
• Hephzibah Children's Association
• Hephzibah Children's Association
• Hephzibah Children's Association
• Joseph Herbst, L.C.P.C.
• Kari Hermanson, DNP, CRNA
• Hermes Health SC
• Nesreen Hermes, M.D.
• Irma Hernandez Hernandez, LCPC
• Arthur Alexander Hernandez, MD

• Cardiovascular Disease Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.