Individual provider Active NPI

Ivonne Herrera, MD

  • Rheumatology Physician
  • Seaford, DE
National Provider Identifier
1992856785
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
CI0006778 Issued in DE
Practice address
1350 Middleford Rd
Suite 502
Seaford, DE 19973-3664
Phone
(302) 628-8300
Fax
(302) 628-8400
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X CI0006778 DE Primary
Rheumatology Physician 207RR0500X D0078900 MD

Addresses

Primary practice location

1350 Middleford Rd
Suite 502
Seaford, DE 19973-3664

Mailing address

1350 Middleford Rd
Suite 502
Seaford, DE 19973-3664
Phone (302) 628-8300

Other identifiers 2

IdentifierTypeStateIssuer
1000021656MedicaidDE
196158YC36OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20100120000120 DE Practitioner - Rheumatology 1254473820 Reassigns benefits to 1 organization
I20150414000945 MD Practitioner - Rheumatology 1254473820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Arthritis and Osteoporosis Center LLCGroup PAC ID 6901095389, 3 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

1324 Belmont Ave
Suite 105
Salisbury, MD 21804-4543
Phone (443) 944-8031

1350 Middleford Rd
Seaford, DE 19973-3664
Phone (302) 628-8300

560 Riverside Dr
Salisbury, MD 21801-4700
Phone (410) 543-7354

Hospital & facility affiliations

  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
94.63
Improvement activities
40
Cost
79.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CI0006778DEMDRheumatology Physician
D0078900MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Osteoporosis Center LLC Rheumatology CurrentSince Aug 31, 2010 Accepting new patients

Locations

1350 Middleford Rd
Ste 502
Seaford, DE 19973
Phone (302) 628-8300

1324 Belmont Ave
Ste 105
Salisbury, MD 21804
Phone (410) 341-6180

1324 Belmont Ave
Unit 105
Salisbury, MD 21804
Phone (443) 944-8031

Interoperability endpoints

  • Direct secure messaging: ivonne.herrera.p1@direct.aocde.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ivonne.herrera.p56@direct.aara1.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/11478/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 5

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1992856785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MIDDLEFORD RD",
            "address_2": "SUITE 502",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733664",
            "telephone_number": "302-628-8300",
            "fax_number": "302-628-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MIDDLEFORD RD",
            "address_2": "SUITE 502",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733664",
            "telephone_number": "302-628-8300",
            "fax_number": "302-628-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "IVONNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DE",
            "license": "CI0006778",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0078900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021656",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "196158YC36",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.