Active NPI
Raquel Gonzalez Heredia, MD
- Surgery Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 208600000X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
10020 Donald Powers Dr
Munster, IN 46321-2905
Phone (219) 836-7605
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208600000X | IN | MD | Surgery Physician |
| 036165199 | IL | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Surgery | Current | 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 | Current | Accepting new patients | |
| Community Care Network Inc | Surgery | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | 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
- rgonzalezheredia92272@uihealth.direct-ci.com
- 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.
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Psychiatry Physician
- Chicago, IL
- NPI 1215305123
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Surgery Physician
- Chicago, IL
- NPI 1265651392
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.