Individual provider Active NPI

Heather N London, M.D.

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1942706551
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME149376 Issued in FL
Practice address
3304 SW 34TH Circle
Suite 103
Ocala, FL 34474-3357
Phone
(352) 401-7575
Fax
(352) 401-7577
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52636 SC
Family Medicine Physician 207Q00000X ME149376 FL Primary

Addresses

Primary practice location

3304 SW 34TH Circle
Suite 103
Ocala, FL 34474-3357

Mailing address

4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4852
Phone (352) 416-1082

Other identifiers 1

IdentifierTypeStateIssuer
110632300MedicaidFL

Other names 1

  • Heather N Brunges Former name

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
I20210611001027 FL Practitioner - Family Practice 4284968496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simedhealth LLCGroup PAC ID 6608137054, 89 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone (352) 416-1082

8449 SW Hwy 200
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Ocala, FL, CCN 109532
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as individual
Quality
84.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149376FLMDFamily Medicine Physician
52636SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simed Health LLC CurrentSince Aug 1, 2021 Accepting new patients
Simedhealth LLC CurrentSince Aug 1, 2021 Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

3304 SW 34th Cir
Ste 103
Ocala, FL 34474
Phone (352) 291-0245

Interoperability endpoints

  • Direct secure messaging: heather.london@simedhealth.directbygreenway.com

Organizations & group practices 3

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1942706551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054852",
            "telephone_number": "352-416-1082",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 SW 34TH CIRCLE",
            "address_2": "SUITE 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743357",
            "telephone_number": "352-401-7575",
            "fax_number": "352-401-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "52636",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME149376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110632300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BRUNGES",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.