RAUL HEREDIA (MD) – Cardiovascular Disease Physician, NPI 1366408213
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
491 CARDIOVASCULAR DISEASE (CARDIOLOGY) in KY
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Provider Addresses for RAUL HEREDIA (MD)
Frankfort Post Office, 21201, South Elsner Road, Frankfort, Will County, Illinois, 60423, United States
FRANKFORT, KY 40601
Phone: (502) 223-5811
Fax: (502) 227-7379
Type: Mailing
1002, Leawood Drive, Frankfort, Franklin County, Kentucky, 40601, United States
FRANKFORT, KY 40601
Phone: (502) 227-7188
Fax: (502) 227-7379
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 392 Open Payments records for all available years, with a total value of $7,475.
Total Amount is formed as General ($7,475) + Research ($0) + Ownership ($0) = $7,475.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,334).
Total Amount
$7,475
General + Research + Ownership
Payments
392
Total payment records
General Amount
$7,475
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,334 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $683 |
| PFIZER INC. | $414 |
| Janssen Pharmaceuticals, Inc | $351 |
| Amgen Inc. | $310 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-01-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050111000429 | I | Cardiovascular Disease (Cardiology) | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 800 | 356 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 622 | 376 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 164 | 41 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 136 | 133 | $0 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 114 | 56 | $0 |
Insurance plans in this area (ZIP 40601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | KY | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 55 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
Reviews
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