NPIMap

Individual provider Active NPI

Jerrell Waika Herod, M.D.

  • Cardiovascular Disease Physician
  • Lone Tree, CO
National Provider Identifier
1982870481
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
53179 Issued in CO
Practice address
10103 Ridgegate Pkwy Ste 103
Lone Tree, CO 80124-5524
Phone
(303) 645-0090
Fax
(303) 645-0092
NPI assigned
May 5, 2008
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 53179 CO Primary

Addresses

Primary practice location

10103 Ridgegate Pkwy Ste 103
Lone Tree, CO 80124-5524

Mailing address

4900 S Monaco St Ste 210
Denver, CO 80237-3487
Phone (303) 645-0090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JERRELL.HEROD@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714002130 CO Practitioner - Cardiovascular Disease (Cardiology) 7315123999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Johns Hopkins University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Heart Care LLCGroup PAC ID 9436394467, 48 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

10103 Ridgegate Pkwy
Suite 103
Lone Tree, CO 80124-5524
Phone (303) 645-0090

1444 S Potomac St
300 Aurora Denver Cardiology Associates
Aurora, CO 80012-4510
Phone (303) 750-0822

1444 S Potomac St
Suite 310
Aurora, CO 80012-4508
Phone (303) 750-0822

1501 S Potomac St
The Medical Centers of Aurora
Aurora, CO 80012-5411
Phone (303) 695-2600

1719 E 19TH Ave
Presbyterian St Lukes Medical Center
Denver, CO 80218-1235
Phone (303) 839-6293

501 E Hampden Ave
Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 788-5000

755 S Perry St
Suite 200
Castle Rock, CO 80104-1923
Phone (303) 534-9565

9191 Grant St
Thornton, CO 80229-4361
Phone (303) 451-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as individual
Quality
87.51
Promoting interoperability
99
Improvement activities
40
Cost
73.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53179COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Heart Care LLC Cardiovascular Disease CurrentSince Jun 5, 2015 Accepting new patients

Locations

1444 S Potomac St
#30
Aurora, CO 80012
Phone (303) 750-0822

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

4900 S Monaco St
Ste 210
Denver, CO 80237

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

10103 Ridgegate Pkwy
Ste 103
Lone Tree, CO 80124
Phone (303) 645-0090

Interoperability endpoints

  • Direct secure messaging: jerrell.herod@hca3.eclinicaldirectplus.com

Organizations & group practices 1

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1982870481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373487",
            "telephone_number": "303-645-0090",
            "fax_number": "303-645-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 103",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245524",
            "telephone_number": "303-645-0090",
            "fax_number": "303-645-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROD",
        "first_name": "JERRELL",
        "middle_name": "WAIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "53179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JERRELL.HEROD@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10103 Ridgegate Pkwy Ste 103",
            "city": "Lone Tree",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801245524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.