Active NPI
David Luis Heredia Jr.
- Internal Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101285589
- Practice address
- 2139 Auburn Ave Ste 2170
Cincinnati, OH 45219-2989 - Phone
- (513) 585-4079
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 0101285589 | VA | Primary |
Addresses
Primary practice location
2139 Auburn Ave Ste 2170
Cincinnati, OH 45219-2989
Mailing address
2139 Auburn Ave Ste 2170
Cincinnati, OH 45219-2989
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Elm Ave
Roanoke, VA 24013-2222
Phone (540) 224-4380
101 Elm Ave SE
FL 3
Roanoke, VA 24013-2222
Phone (540) 224-6780
150 Market Ridge LN
Daleville, VA 24083-3258
Phone (540) 966-0400
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277
1906 Belleview Ave SE
Roanoke, VA 24014-1838
2001 Crystal Spring Ave
Suite 205
Roanoke, VA 24014-2462
Phone (540) 985-8505
2001 Crystal Spring Ave SW
Roanoke, VA 24014-2465
2001 Crystal Spring Ave SW
FL 3
Roanoke, VA 24014-2462
Phone (540) 985-8505
2001 Crystal Spring Swave
Roanoke, VA 24014-2465
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
2900 Lamb
700A
Christiansburg, VA 24073-6344
Phone (540) 731-7460
2900 Lamb Cir
Christiansburg, VA 24073-6341
2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2992
3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170
415 S Pollard St
Carilion Family Medicine Parkway Physicians
Vinton, VA 24179-2502
Phone (540) 983-6700
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110
Hospital & facility affiliations
- Carilion Medical Center
- Carilion New River Valley Medical Center
- Carilion Franklin Memorial Hospital
- Carilion Stonewall Jackson Hospital
- Sovah Health Danville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101285589 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
2900 Lamb Cir
Ste 201
Christiansburg, VA 24073
Phone (540) 731-2328
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
2001 Crystal Spring Ave SW
Ste 203
Roanoke, VA 24014
Phone (540) 853-0755
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
Interoperability endpoints
- dheredia113384@direct.carilionclinic.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rocky Mount, VA
- NPI 1710970918
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
-
- Hospitalist Physician
- Lexington, VA
- NPI 1023663002
-
- Critical Access Hospital
- Lexington, VA
- NPI 1518950484
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1750936977
Hospital
-
- Emergency Medicine Physician
- Lexington, VA
- NPI 1942854427
Hospital
-
- General Acute Care Hospital
- Martinsville, VA
- NPI 1386720183
-
- Rural Acute Care Hospital
- Danville, VA
- NPI 1154419737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1740742527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 AUBURN AVE STE 2170",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 AUBURN AVE STE 2170",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192989",
"telephone_number": "513-585-4079"
}
],
"practiceLocations": [
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEREDIA",
"first_name": "DAVID",
"middle_name": "LUIS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101285589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.