Individual provider Active NPI

Hayat M Heriba, MD

  • Family Medicine Physician
  • Apopka, FL
National Provider Identifier
1780642496
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME57445 Issued in FL
Practice address
3328 E Semoran Blvd
Apopka, FL 32703-6003
Phone
(407) 869-6661
Fax
(407) 869-6226
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME57445 FL Primary

Addresses

Primary practice location

3328 E Semoran Blvd
Apopka, FL 32703-6003

Mailing address

3328 E Semoran Blvd
Apopka, FL 32703-6003
Phone (407) 869-6661

Other identifiers 1

IdentifierTypeStateIssuer
055867200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100804000600 FL Practitioner - Family Practice 8123151693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3328 E Semoran Blvd
Apopka, FL 32703-6033
Phone (407) 869-6661

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57445FLMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wekiva Health Care PA LLC Family Medicine CurrentSince Jan 1, 2000 Accepting new patients
Our Family Health Inc. CurrentSince Mar 29, 2026 Accepting new patients

Locations

3328 E Semoran Blvd
Apopka, FL 32703
Phone (407) 869-0002

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1780642496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 E SEMORAN BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036003",
            "telephone_number": "407-869-6661",
            "fax_number": "407-869-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 E SEMORAN BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036003",
            "telephone_number": "407-869-6661",
            "fax_number": "407-869-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERIBA",
        "first_name": "HAYAT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME57445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055867200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.