Individual provider Active NPI

Marta E Heaberlin, M.D.

  • Diagnostic Radiology Physician
  • The Villages, FL
National Provider Identifier
1801022488
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME117347 Issued in FL
Practice address
1400 N US Highway 441 Ste 510
The Villages, FL 32159-8983
Phone
(352) 787-5858
NPI assigned
Jun 9, 2009
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME117347 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 510
The Villages, FL 32159-8983

Mailing address

734 N 3Rd St Ste 115
Leesburg, FL 34748-5287
Phone (352) 365-2583

Other names 1

  • Marta E Gonzalez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110722000165 VA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1254509078
I20151120002745 FL Practitioner - Diagnostic Radiology 1254509078 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550

4776 E Connell Lake Dr
Inverness, FL 34453-1535
Phone (469) 757-1042

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (904) 339-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117347FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Nuclear Radiology CurrentSince Jan 21, 2023 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Sep 24, 2025 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Nov 5, 2025 Accepting new patients
Brevard Physician Associates, PLLC Nuclear Radiology CurrentSince Nov 1, 2023 Accepting new patients
Women Center for Radiology Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients
Henrico Surgical Specialists, LLC PastSince Aug 1, 2018 Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1621 N Mills Ave
Orlando, FL 32803
Phone (407) 581-4147

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1801022488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N 3RD ST STE 115",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485287",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 510",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598983",
            "telephone_number": "352-787-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEABERLIN",
        "first_name": "MARTA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME117347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "GONZALEZ",
            "middle_name": "E",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.