Individual provider Active NPI

Raquel Gonzalez Heredia, MD

  • Surgery Physician
  • Munster, IN
National Provider Identifier
1952824302
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
208600000X Issued in IN
Practice address
10020 Donald S Powers Dr
Munster, IN 46321-4054
Phone
(219) 703-2434
Fax
(219) 703-6634
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 036165199 IL
Surgery Physician 208600000X 036165199 IL
Surgery Physician 208600000X 208600000X IN Primary

Addresses

Primary practice location

10020 Donald S Powers Dr
Munster, IN 46321-4054

Mailing address

2681 N Burling St
Chicago, IL 60614-1513
Phone (224) 256-0598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20240822000484 IL Practitioner - General Surgery 1456890474 Reassigns benefits to 2 organizations
I20250902003262 IN Practitioner - General Surgery 1456890474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

10020 Donald Powers Dr
Munster, IN 46321-2905
Phone (219) 836-7605

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208600000XINMDSurgery Physician
036165199ILMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Surgery CurrentSince Jul 1, 2024 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Aug 26, 2024 Accepting new patients
Community Care Network Inc Surgery CurrentSince Oct 13, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2024 Accepting new patients
Mount Sinai Community Foundation CurrentSince Aug 26, 2024 Accepting new patients

Locations

1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

10020 Donald S Powers Dr
Munster, IN 46321
Phone (219) 703-2423

Interoperability endpoints

  • Direct secure messaging: rgonzalezheredia92272@uihealth.direct-ci.com
  • Direct secure messaging: rgonzalezheredia1158775@ssdirect.comhs.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.

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1952824302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 N BURLING ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141513",
            "telephone_number": "224-256-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 DONALD S POWERS DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214054",
            "telephone_number": "219-703-2434",
            "fax_number": "219-703-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ HEREDIA",
        "first_name": "RAQUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "IL",
            "license": "036165199",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036165199",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "208600000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.